Intussusception is a serious disorder in which part of the intestine slides into an adjacent part of the intestine. This "telescoping" often blocks food or fluid from passing through. Intussusception also cuts off the blood supply to the part of the intestine that's affected. Intussusception can lead to a tear in the bowel (perforation), infection and death of bowel tissue. Intussusception is the most common cause of intestinal obstruction in children younger than 3.
Intussusception (IS) is one of the most frequent causes of abdominal surgical emergencies in young children. t occurs when one segment of bowel invaginates into the distal bowel, resulting in venous congestion and bowel wall edema. Early diagnosis of IS is done using ultrasonography and/or air/hydrostatic enema. Air/hydrostatic enema is also used for the treatment of IS, in addition to surgical reduction of IS. IS cases are most commonly observed in young children within the first year of life and are rare in children aged < 6 weeks, older children and adults. The causes of IS are unknown in most cases. However, the frequent association of IS with intestinal lymphoid hyperplasia suggests that infectious agents may play a role.
An enema is the first step in treatment. In fact, an enema that is used to diagnose intussusception may also help to treat it. Pressure from the air or fluid may cause the intestine to correct itself. The result of an enema treatment might not last, so patients usually stay in the hospital overnight for observation. Surgery is another treatment option. Intussusception surgery involves either a large incision or a small incision and a camera. This is called laparoscopic surgery. The type of surgery depends on the location and severity of the obstruction. Intussusception surgery may include removal of the affected section of intestine.