INTUSUSCEPCION PEDIATRIA PDF

Ultrasonographic and clinical predictors of intussusception. The painless intussusception. Predictors of intussusception in young children. Arch Pediatr Adolesc Med. Arch Pediatr Adolesc Med link - Pubmed citation 4.

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Differential diagnosis[ edit ] An intussusception has two main differential diagnoses: acute gastroenteritis and rectal prolapse. Abdominal pain, vomiting, and stool with mucus and blood are present in acute gastroenteritis, but diarrhea is the leading symptom.

Rectal prolapse can be differentiated by projecting mucosa that can be felt in continuity with the perianal skin, whereas in intussusception the finger may pass indefinitely into the depth of the sulcus. Treatment[ edit ] The condition is not usually immediately life-threatening.

The intussusception can be treated with either a barium or water-soluble contrast enema or an air-contrast enema, which both confirms the diagnosis of intussusception, and in most cases successfully reduces it. In a surgical reduction, the surgeon opens the abdomen and manually squeezes rather than pulls the part that has telescoped.

If the surgeon cannot successfully reduce it, or the bowel is damaged, they resect the affected section. More often, the intussusception can be reduced by laparoscopy , pulling the segments of intestine apart with forceps. In developing countries where medical hospitals are not easily accessible, especially when other problems complicate the intussusception, death becomes almost inevitable. When intussusception or any other severe medical problem is suspected, the person must be taken to a hospital immediately.

It requires fast treatment, because the longer the intestine segment is prolapsed the longer it goes without bloodflow, and the less effective a non-surgical reduction is. Prolonged intussusception also increases the likelihood of bowel ischemia and necrosis, requiring surgical resection. It strikes about 2, infants one in every 1, in the United States in the first year of life. Its incidence begins to rise at about one to five months of life, peaks at four to nine months of age, and then gradually declines at around 18 months.

Intussusception occurs more frequently in boys than in girls, with a ratio of approximately

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Small Bowel Intussusception

Differential diagnosis[ edit ] An intussusception has two main differential diagnoses: acute gastroenteritis and rectal prolapse. Abdominal pain, vomiting, and stool with mucus and blood are present in acute gastroenteritis, but diarrhea is the leading symptom. Rectal prolapse can be differentiated by projecting mucosa that can be felt in continuity with the perianal skin, whereas in intussusception the finger may pass indefinitely into the depth of the sulcus. Treatment[ edit ] The condition is not usually immediately life-threatening.

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Invaginación intestinal en los niños

Small Bowel Intussusception can also lead to intestinal necrosis. These delays are associated with higher complication rates. Obviously it would be best to avoid unnecessary surgery for those that will have spontaneous reduction of their benign small bowel intussusception. Smaller is better. Lead Points are bad.

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