Intussusception Questions & Answers

Updated: Dec 20, 2018
  • Author: A Alfred Chahine, MD; Chief Editor: Carmen Cuffari, MD  more...
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Questions & Answers

Overview

What is intussusception?

What are the symptoms of intussusception?

What are the hallmark physical findings of intussusception?

How is intussusception diagnosed?

What therapeutic enemas are used in the treatment of intussusception?

How is surgical reduction performed in the treatment of intussusception?

What is intussusception?

What should be included in information given to parents about intussusception?

What is the pathogenesis of intussusception?

What are the surgical lead points in intussusception?

What is the role of Henoch-Schönlein purpura (HSP) in the etiology of intussusception?

How is intussusception treated in patients with Henoch-Schönlein purpura (HSP)?

What is the role of hemophilia in the etiology of intussusception?

What are the signs and symptoms of postoperative intussusceptions?

How do indwelling catheters cause intussusception?

What is the role of cystic fibrosis in the etiology of intussusception?

What is the role of electrolyte derangements in the etiology of intussusception?

What is the role of nitric oxide in the etiology of intussusception?

What is the role of viral agents in the etiology of intussusception?

What is the role of rotavirus vaccine in the etiology of intussusception?

What is the pathophysiology of idiopathic intussusception?

What is the incidence of intussusception in the US?

Which children are at highest risk for intussusception?

What is the prognosis of intussusception?

What are the complications associated with intussusception?

Presentation

Which clinical history is characteristic of intussusception?

Which physical findings are characteristic of intussusception?

Which physical findings suggest the early disease process in intussusception?

DDX

How is rectal prolapse differentiated from intussusception?

Which conditions should be included in the differential diagnoses of intussusception?

What are the differential diagnoses for Intussusception?

Workup

What is included in the evaluation for intussusception?

What is the role of abdominal radiography in the diagnosis of intussusception?

What are the limitations of radiography in the evaluation of intussusception?

What is the role of ultrasonography in the diagnosis of intussusception?

What is the role of CT scanning in the diagnosis of intussusception?

What is the role of contrast enema in the diagnosis and treatment of intussusception?

Treatment

What are the treatment options for intussusception?

Which diet and activity restrictions are needed following treatment of intussusception?

What is the role of nonoperative reduction in the treatment of intussusception?

What is the role of air enema in the treatment of intussusception?

If the first attempt at nonoperative reduction of intussusception fails, when should repeated attempts be made?

What is the efficacy of therapeutic enema in the treatment of intussusception?

What is the role of surgical reduction in the treatment of intussusception?

How long should children be hospitalized following reduction of intussusception?

Which specialist consultations are needed for the treatment of intussusception?

Medications

What is the role of medications in the treatment of intussusception?

Which medications in the drug class Nonsteroidal Anti-Inflammatory Drugs are used in the treatment of Intussusception?

Which medications in the drug class Opioid Analgesics are used in the treatment of Intussusception?