Akademik Veri Yönetim Sistemi
ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.11, ss.265-268, 2020 (ESCI)
Aim: Intussusceptions are rare conditions in adults. Therefore, there are no studies in the literature with large patient series. The debate on the treatment algorithms for the condition has continued. This condition generally occurs due to pathological causes in adults, and absence of clinical indications specific to it could lead to delays in diagnosis and treatment. In the present study, underlying etiological factors, diagnostic methods, and alternative treatment modalities for intussusceptions were discussed in the light of the literature. Material and Methods: In the present study, data of 11 patients with mechanical intestinal obstruction complaint who were operated and who had diagnosis of intestinal intussusception from January 2016 to August 2019 in Bagcilar Training and Research Hospital General Surgery Clinic were evaluated retrospectively. Results: The mean age of the 11 patients included (six men and five women) was 43.9 years (range 19-87). All patients were operated due to mechanical obstruction. Nine patients had enteroenteric intussusception (one malign and eight benign) while two patients had ileocolic intussusception (malign). Three cases had enterotomy, five cases had a segmental small bowel resection, and two cases had hemicolectomy. Discussion: Intussusception is a rare cause of mechanic clinical obstructions in adults, and preoperative diagnosis is still difficult. Frequently used treatment is resection and anastomosis. Debates about deinvaginations have been continuing.