Thursday, July 8, 2010

Adult Intussusception




















Rare in adults
- risk of malignant lesion as lead point higher if colo-colonic intussusception
- If SB intussusception 60% chance of lead point being benign

Management is controversial:
- reduction of intussusception vs. en bloc resection
- if colonic intussusception then consider en bloc resection as more likely malignant lead point
- if SB intussusception then consider reduction and resection of lead point only
- id ischemia or necrosis then consider en bloc resection
- risk short-gut if extensive SB resection


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