The Management of Intussusception: A Systematic Review

• Published in: Curēus (Palo Alto, CA) CA), 2023-11, Vol.15 (11), p.e49481-e49481
• Main Authors: Attoun, Majed Ali, Albalawi, Shuruq Mousa D, Ayoub, Afnan, Alnasser, Ali K, Alkaram, Esraa H, Khubrani, Fouz A, Alzahrani, Khalid J, Alatawi, Kholoud A, Almutairi, Nura, Alnami, Almuhannad G
• Format: Article
• Language: English
• Subjects: Abdomen; Antibiotics; Appendicitis; Emergency medical care; Feces; General Surgery; Glucagon; Hernias; Intestinal obstruction; Ischemia; Motility; Pediatric Surgery; Pediatrics; Small intestine; Success; Surgeons; Surgery; Systematic review
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.49481

Intussusception (ISN) is a dangerous condition where a portion of the intestine slides into an adjacent area of the intestine. This telescoping motion frequently prevents liquids or food from flowing through. Developing management guidelines for ileocolic (IC) intussusception was the aim of this systematic study. Data sources were PubMed/Medical Literature Analysis and Retrieval System Online (MEDLINE), Scopus, and Embase databases. Our review investigated English-language articles (from 2010 to 2023) according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Overall, there were 15 articles. Surveys and analyses of national databases were the most widely used methods (n=15). The search identified 561 studies; 15 were eligible for inclusion in the analysis. Further understanding of the management of intussusception may help improve evaluation and management in the future. The use of preventive antibiotics does not reduce problems following radiologic reduction. When clinically appropriate, repeated attempts at enema reduction may be made. After the enema reduction of ileocolic intussusception, patients can be safely watched in the emergency room (ER), thereby avoiding hospitalization. Success rates for laparoscopic reduction are high. When it comes to intussusception in children who are hemodynamically stable and do not have a serious illness, there is no need for pre-reduction antibiotics. Prioritizing nonoperative outpatient (OP) therapy is recommended as the primary approach, with the utilization of minimally invasive procedures to avoid the necessity for laparotomy. The management of colonic intussusception involves complete removal in one piece, while enteric intussusception can be addressed through reduction followed by resection. A targeted approach is recommended, recognizing the intermediate forms of intussusception that may exist between the colonic and enteric types. It is essential to note that the prevailing treatment for adult intussusception remains to be surgical intervention.