Childhood intussusception: a multicentre study in a middle-income country

  • A E Ajao Bowen University
  • F O Kumolalo University of Medical Sciences
  • D I Olulana University of Ibadan
  • O O Ogundoyin University of Ibadan
  • T A Lawal University of Ibadan
Keywords: childhood intussusception, delayed presentation, outcome, developing country

Abstract

Background: The outcome in infants and young children of intestinal obstruction due to intussusception is well documented in high-income countries. Our aim was to investigate the current pattern of presentation, management and outcome of childhood intussusception in a middle-income country using a multicentre approach.

Methods: Records of children managed for intussusception in three centres in South West Nigeria were retrospectively reviewed and analysed.

Results: One hundred and ninety children managed for intussusception were analysed. The male-to-female ratio was 1.8:1. The median age was 7 months with a peak age incidence of 3–6 months. Peak incidence was recorded during the dry season. Passage of bloody stool, vomiting, abdominal pain and fever were the most common presenting features. Seventy-three (38.4%) of the patients presented with the classic triad. The median duration of symptoms was three days and only 19 (10.1%) patients presented in less than 24 hours. Ileocolic intussusception was the most common anatomic type, occurring in 166 (87.4%) patients, and was significantly  associated with age. Twenty-two (56.4%) had successful hydrostatic reduction, while 165 (88.2%) required surgery. Forty (21.1%) patients suffered postoperative complications. Eleven (5.8%) of the patients died. The median duration of hospital stay was six days, and this correlated with the duration of symptoms and the length of hospital stay.

Conclusion: Delayed presentation is a persisting challenge in the management of childhood intussusception in Nigeria. Prompt referral to a paediatric surgeon may reduce the surgery rate, associated morbidity and the length of hospital stay.

Author Biographies

A E Ajao, Bowen University

Department of Surgery, Bowen University and Bowen University Teaching Hospital, Nigeria

F O Kumolalo, University of Medical Sciences

Department of Surgery, University of Medical Sciences and University of Medical Sciences Teaching Hospital Complex, Nigeria

D I Olulana, University of Ibadan

Department of Surgery, University of Ibadan and University College Hospital, Nigeria

O O Ogundoyin, University of Ibadan

Department of Surgery, University of Ibadan and University College Hospital, Nigeria

T A Lawal, University of Ibadan

Department of Surgery, University of Ibadan and University College Hospital, Nigeria

Published
2020-10-19
How to Cite
Ajao, A., Kumolalo, F., Olulana, D., Ogundoyin, O., & Lawal, T. (2020). Childhood intussusception: a multicentre study in a middle-income country. South African Journal of Surgery, 58(3), 138-142. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/2986
Section
Paediatric Surgery