Contemporary Management of Adult Intussusception: Who Needs a Resection?

Background Surgical resection is often recommended in adults with intestinal intussusception (AI) because of its potential association with malignancy. We provide a contemporary algorithm for managing AI by focusing on the probability of discovering a lead point. Methods This is a retrospective stud...

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Bibliographic Details
Published in:World journal of surgery 2013-08, Vol.37 (8), p.1872-1877
Main Authors: Varban, Oliver A., Ardestani, Ali, Azagury, Dan E., Kis, Bela, Brooks, David C., Tavakkoli, Ali
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Aged, 80 and over
Bowel Resection
Cardiac Surgery
Compute Tomography Finding
Female
Gastric Bypass
General Surgery
Humans
Intussusception
Intussusception - diagnostic imaging
Intussusception - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Rectal Prolapse
Retrospective Studies
Surgery
Thoracic Surgery
Tomography, X-Ray Computed
Vascular Surgery
Young Adult
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Summary:Background Surgical resection is often recommended in adults with intestinal intussusception (AI) because of its potential association with malignancy. We provide a contemporary algorithm for managing AI by focusing on the probability of discovering a lead point. Methods This is a retrospective study of adult patients with computed tomography (CT)-confirmed intussusception who underwent operative management of AI between 1996 and 2011 at a single academic institution. Results Sixty-four patients were diagnosed with AI by CT scan and then managed operatively. The incidence of colonic (CI), small bowel (SBI), and retrograde intussusception (RI) was 14, 55, and 31 %, respectively. All patients with CI had a lead point, whereas none were found among patients with RI. Some 46 % of patients with SBI had a lead point. The probability of discovering a lead point in SBI was increased by past history of malignancy (RR, 3.7, p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-013-2036-3