Adult Intussusception in Chaoprayayomraj Hospital-Adult Intussusception

Abstract

          Incidence of adult intussusception is low.  The nature of disease and management are dif- ferent from the intussusception in childhood.  Adult intussusception is almost always associated with a causative lesion, and operation is indicated more frequently than in childhood.  A retrospective review of medical records on adult intussusception operations in Chaoprayayomraj hospital, Suphan Buri from 1988 to 2007, was carried out and included 17 cases in total.  Focus was made on anatomical site, leading causes of the intussusception and operative procedures.  The results showed that the anatomical sites were at small bowel 35 percent and at large bowel 65 percent.  The leading points were detected in all cases.  The benign causes (5/6) were markedly more than the malignancy (1/6) in the group of small bowel sites; on the contrary, the benign causes (45.45%) were less than the malignancy (54.55%) in the group of large bowel site.  A surgical procedure of the adult intussusception is recommended.  Resection of leading points should be done in all cases while reduction of intussusception should be individually determined.  Partial reduction could be done when possible only in case of small bowel intussusception which could be easily reduced.  If malignant cause is suspected, particularly in case of large bowel intussusception, the whole intussuscepted segment should be resected without reduction.

Key words:  adult intussusception, anatomical site, leading cause, surgical procedure