TITLE

Intussusception of the bowel in adults: A review

AUTHOR(S)
Marinis, Athanasios; Yiallourou, Anneza; Samanides, Lazaros; Dafnios, Nikolaos; Anastasopoulos, Georgios; Vassiliou, Ioannis; Theodosopoulos, Theodosios
PUB. DATE
January 2009
SOURCE
World Journal of Gastroenterology;1/28/2009, Vol. 15 Issue 4, p407
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Intussusception of the bowel is defined as the telescoping of a proximal segment of the gastrointestinal tract within the lumen of the adjacent segment. This condition is frequent in children and presents with the classic triad of cramping abdominal pain, bloody diarrhea and a palpable tender mass. However, bowel intussusception in adults is considered a rare condition, accounting for 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction. Eight to twenty percent of cases are idiopathic, without a lead point lesion. Secondary intussusception is caused by organic lesions, such as inflammatory bowel disease, postoperative adhesions, Meckel's diverticulum, benign and malignant lesions, metastatic neoplasms or even iatrogenically, due to the presence of intestinal tubes, jejunostomy feeding tubes or after gastric surgery. Computed tomography is the most sensitive diagnostic modality and can distinguish between intussusceptions with and without a lead point. Surgery is the definitive treatment of adult intussusceptions. Formal bowel resection with oncological principles is followed for every case where a malignancy is suspected. Reduction of the intussuscepted bowel is considered safe for benign lesions in order to limit the extent of resection or to avoid the short bowel syndrome in certain circumstances.
ACCESSION #
36633595

 

Related Articles

  • In the Era of Routine Use of CT Scan for Acute Abdominal Pain, Should All Adults with Small Bowel Intussusception Undergo Surgery? OLASKY, JAISA; MOAZZEZ, ASHKAN; BARRERA, KAYLENE; CLARKE, TATYAN; SHRIKI, JABI; SOHN, HELEN J.; KATKHOUDA, NAMIR; MASON, RODNEY J. // American Surgeon;Oct2009, Vol. 75 Issue 10, p958 

    In contrast to adult colonic intussusception in which malignancy is the dominant cause, small bowel intussusceptions are mostly benign. Although surgery is the accepted standard treatment, its necessity in small bowel intussusceptions identified by CT scan is unknown. Twenty-three patients from...

  • Double ileo-ceco-colic invagination due to right colon carcinoma: clinical presentation and management. PATRIZI, G.; DI ROCCO, G.; GIANNOTTI, D.; CASELLA, G.; MARIOLO, J. R. CASELLA; BERNIERI, M. G.; REDLER, A. // European Review for Medical & Pharmacological Sciences;Aug2013, Vol. 17 Issue 16, p2267 

    Intestinal intussusceptions represent a rare cause of intestinal obstruction in adults (about 1% of intestinal obstructions). The principle causes are benign or malignant tumors. In adults, the most frequent localizations of intestinal invaginations are the ileocecal segment, ileum and colon as...

  • CT features of symptomatic adult intussusception with surgical correlation: a study of six cases. Patnaik, Sujata; Bheerappa, N.; Muralidhar, N.; Rammurti, S. // Journal of Medical & Allied Sciences;2/28/2014, Vol. 4 Issue 1, p35 

    Adult Intussusception is a rare cause of bowel obstruction and is often secondary to a benign or malignant tumour. This study describes the CT features of 6 surgically managed cases of adult intussusception presenting with signs of intestinal obstruction between 2010 and 2012. All had CT scan...

  • Small bowel imaging-- a rapidly changing field and a challenge to radiology. Maglinte, Dean D. T. // European Radiology;May2006, Vol. 16 Issue 5, p967 

    There was a time when the small bowel follow-through (SBFT) was the primary method of diagnosing diseases of the small intestine. Enteroclysis was reinvented in the 70's and with the SBFT remained the dominant methods of investigating the mesenteric small intestine to the late 90's. Since the...

  • Adult intussusception in the last 25 years of modern imaging: is surgery still indicated? Onkendi, Edwin; Grotz, Travis; Murray, Joseph; Donohue, John; Onkendi, Edwin Onserio; Grotz, Travis Edward; Murray, Joseph A; Donohue, John Harrington // Journal of Gastrointestinal Surgery;Oct2011, Vol. 15 Issue 10, p1699 

    Background: Because most adult intussusceptions are reportedly due to malignancy, operative treatment is recommended. With current availability of computed tomography, we questioned the role of mandatory operative exploration for all adult intussusceptions.Methods: This...

  • Ileocecal Intussusception due to a Lipoma in an Adult. Bilgin, Mehmet; Toprak, Huseyin; Ahmad, Issam Cheikh; Yardimci, Erkan; Kocakoc, Ercan // Case Reports in Surgery;2012, p1 

    While intestinal tumors are rare, small intestinal lipomas are even more uncommon benign neoplasms. They are usually asymptomatic, but lipomas larger than 2 cm may become symptomatic due to obstruction, bleeding, or intussusception. In this paper, US and CT findings of a lipoma located in the...

  • Giant polypoid gastric heterotopia of the jejunum presenting with intermittent intussusception. Omotosho, Philip A.; Varnholt, Heike; Tirabassi, Michael V.; Prasad, Rajeev; Moriarty, Kevin P. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Apr2007, Vol. 17 Issue 2, p249 

    We report the case of a 17-year-old female with symptoms of intermittent small bowel obstruction. Computed tomography scan of the abdomen revealed an intussusception. The patient underwent a laparoscopic-assisted resection of the mass, which proved to be gastric heterotopia of the jejunum. We...

  • Gastrointestinal tract lymphangiomas: findings at CT and endoscopic imaging with histopathologic correlation. Hui Zhu; Zhi Wu; Xiao Lin; Bei Shi; Upadhyaya, Manavendra; Chen, Kemin; Zhu, Hui; Wu, Zhi Yuan; Lin, Xiao Zhu; Shi, Bei // Abdominal Imaging;Nov2008, Vol. 33 Issue 6, p662 

    Objective: To evaluate and describe CT and endoscopic imaging findings in patients with pathologically confirmed gastrointestinal tract lymphangiomas. Methods: Findings from imaging examinations in 6 patients with pathologically confirmed lymphangioma were...

  • Hemorragia digestiva baja e intususcepción subsecuente a tumor del estroma gastrointestinal. Menéndez-Sánchez, Pablo; Villarejo-Campos, Pedro; Gambí-Pisonero, Daniel; Cubo-Cintas, Teófilo; Padilla-Valverde, David; Martín-Fernández, Jesús // Cirugia y Cirujanos;nov/dic2009, Vol. 77 Issue 6, p483 

    Background: Small bowel tumors comprise 25% of gastrointestinal (GI) neoplasms, of which only between 0.2 and 1% correspond to gastrointestinal stromal tumors (GIST). GI bleeding is the most common presentation of GIST, being responsible in 1% of the cases. This type of neoplasm can also be the...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics