This is an automatically translated article.
The article was written by: Specialist Doctor II Phan Phi Tuan - Head of General Surgery - Department of General Surgery - Vinmec Phu Quoc International General Hospital.Intussusception is a serious emergency in which part of the intestine enters an adjacent part of it. This cage block often blocks the passage of food and constricts the blood vessels, which can lead to gangrene and perforation of the intestine.
1. What is intussusception?
Intussusception is the most common cause of intestinal obstruction in children, usually 3 to 6 months, mostly under 1 year of age, 2-3 times more common in boys than girls. Babies with an abnormal bowel structure and/or a history of intussusception are at higher risk than other babies. In most cases, the cause is unknown.
Symptoms of intussusception :
Symptoms often appear suddenly with abdominal cramps, baby flexes, twists, when in pain, the patient can bend his knees to his chest. Pain is of an episodic nature. Each episode lasts 5-15 minutes. The frequency of the pain is increasing gradually.
In addition, the patient may also have bloody mucus, vomiting, palpable abdominal mass, usually palpable in addition to pain, some have fever. Of course, not all pediatric patients have all of the above symptoms. Sometimes, the only sign is fussiness due to pain.
When the patient has complications of necrosis, intestinal perforation will present peritonitis with severe abdominal pain, abdominal stiffness or resistance to obvious infection.
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2. Diagnosis of intussusception through imaging/radiography measures
Unprepared abdominal X-ray can identify bowel obstruction. When intestinal obstruction occurs in young pediatric patients, intussusception should be suspected first.
Ultrasonography: is the most common diagnostic tool, can give the picture of the intussusception, the image of the "onion" and also the image of intestinal obstruction.
In some cases, a CT scan of the abdomen or a colonoscopy with a pump can be performed.
3. Treatment of intussusception by air intubation
Đưa trẻ đến viện sớm trong 24 giờ đầu để được điều trị kịp thời
In Vietnam, air intubation was performed in 1964. If the patient with intussusception arrives early in the first 24 hours, this method can be applied in 90% of cases. The doctor will insert a small catheter into the rectum. Under the guidance of a local X-ray machine, the doctor will slowly inflate air into the large intestine with moderate pressure until the interlocking bowel mass is completely removed. If the child is brought to the hospital too late (after 6 hours of intussusception), surgery is often required to remove the intussusception.
Vinmec Phu Quoc International General Hospital has successfully removed the air cage with modern equipment from diagnosis to treatment, creating confidence for people in the conditions on the island, limited in work. transport to the mainland.
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