A prospective study of clinical profile of pediatric patients with intussusception in a tertiary care Rural medical college & hospital of U.P.

Abstract

Introduction: Intussusception a pathological telescoping of a portion of bowel into an adjacent part. It is usually occur due to lymphoid hyperplasia in infancy and early childhood, where as in older children and adults, it is usually secondary to some identifiable pathological lead point. Intussusception has been reported in several studies to have a seasonal variation, with peaks coinciding with the peak incidence of viral respiratory tract infections and diarrheal disease. The currently approved rotavirus vaccines are associated with a slightly increased risk of intussusception as shown by some studies. Materials and Methods: This was a prospective case series study conducted in the Department of General Surgery, Government Medical College & Superfacility Hospital, Azamgarh. All children aged up to 12 years admitted with clinical diagnosis of intussusception and confirmed by USG were enrolled in the study. The study period was from January 2017 to December 2020. Patient details including demographic data, symptoms, physical signs, and radiological findings were prospectively recorded. Abdominal X-ray was taken if there were features of perforation or peritonitis. Results: 150 infants and children were evaluated and treated for intussusception during the study period. All of them had clinical signs and sonological features of intussusception. There were 104 males (69.33%) and 46 females (30.66%) The median age of patients was 13.87 months (range 3 months-12 years). 122 patients (81.3%) were below 1 year of age. Majority of patients presented between 4-6 months of age. There was no significant seasonal variation in the incidence of intussusception cases in the present study. Conclusion: Awareness in population (Child bearing age group) by any medium, about the clinical presentation of intussusception & their complications helps in early diagnosis and prompt treatment of this common pediatric emergency and helps to prevent mortality in pediatric age group.