Step 1: Surgical Anatomy

  • Intussception can occur at any age, but only 10% occur after the age of 2. All intussceptions in the adult population need to be managed by segmental resection, and the technique is described in Chapter 23 , Small Bowel Resection and Anastomosis.

Step 2: Preoperative Considerations

  • Nonoperative Management: Once the diagnosis of intussception is made and resuscitation is initiated, hydrostatic or pneumatic reduction can be considered in the absence of peritonitis, perforation, advanced sepsis, or gangrenous bowel. This decision is made by the surgeon. These techniques have been successful in 75% to 94% of cases. After the procedure the patient should be observed NPO for 24 hours.

  • Operative Management: Indicated in children with signs of shock, peritonitis, or incomplete reduction. Antibiotics, nasogastric tube decompression, and intravenous fluids are given preoperatively.

Step 3: Operative Steps

Mar 13, 2019 | Posted by in GASTROENTEROLOGY | Comments Off on INTUSSCEPTION EDUCTION
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