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Management of Adult Intussusception—A Case Series Experience from a Tertiary Center

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Abstract

Background

The management of intussusception is controversial. Clinical presentation, with the aid of imaging modalities, enables a better selection of patients for the appropriate treatment algorithm. Conservative management versus surgical intervention with bowel resection is considered accordingly.

Methods

Retrospective review of a computerized database of patients who were admitted with intussusception between January 1, 2010, and December 31, 2020, in a single tertiary center in Israel. Patients who were treated conservatively were compared to those who underwent surgery. Patients who underwent bowel resection were compared to those that had surgery without a resection.

Results

A total of 76 patients were diagnosed with intussusception, and 49 were operated. Bowel resection was performed in 32 cases. 20/76(26%) were successfully managed conservatively. Patients with a lead point (OR = 5.59) and colonic involvement (OR = 13.72) had a higher likelihood for resection. The likelihood of bowel resection was found to be significantly lower with proximal small bowel intussusception (OR = 0.071).

Conclusion

Young patients presenting with intussusception may be treated conservatively when adequate criteria are met in order to avoid unnecessary surgical interventions.

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Funding

Drs Mariya Neymark,Roi Abramov, Maria Dronov and Hayim Gilshtein received no financial support for the research, authorship and/or publication of this article.

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Authors and Affiliations

  1. Department of General Surgery, Rambam Health Care Campus, HaAliya HaShniya 8, Haifa, Israel

    Mariya Neymark, Roi Abramov & Hayim Gilshtein

  2. Department of Radiology, Rambam Health Care Campus, Haifa, Israel

    Maria Dronov

  3. Colorectal Unit, Rambam Health Care Campus, Haifa, Israel

    Hayim Gilshtein

Authors
  1. Mariya Neymark
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  2. Roi Abramov
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  3. Maria Dronov
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  4. Hayim Gilshtein
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Correspondence to Hayim Gilshtein.

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Conflict of interest

Drs Mariya Neymark, Roi Abramov, Maria Dronov and Hayim Gilshtein have no conflicts of interest.

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Appendix 1

Appendix 1

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Table 5 Checklist report according the CARE guidelines
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5

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Neymark, M., Abramov, R., Dronov, M. et al. Management of Adult Intussusception—A Case Series Experience from a Tertiary Center. World J Surg 45, 3584–3591 (2021). https://doi.org/10.1007/s00268-021-06277-z

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  • DOI: https://doi.org/10.1007/s00268-021-06277-z

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