• Akinlabi E Ajao, Taiwo A Lawal, Olakayode O Ogundoyin, and Dare I Olulana.
• Department of Surgery, Bowen University Iwo and Bowen University Teaching Hospital, Ogbomoso, Nigeria.
• Afr Health Sci. 2020 Sep 1; 20 (3): 1463-1470.

IntroductionSurgery remains the mainstay in treating intussusception in developing countries, with a correspondingly high bowel resection rate despite a shift to non-operative reduction in high-income countries.ObjectiveTo assess factors associated with bowel resection and the outcomes of resection in childhood intussusception.MethodsA review of children with intussusception between January 2006 and December 2015 at the University College Hospital, Ibadan, Nigeria. The patients were categorized based on the need for bowel resection and analysis done using the SPSS version 23.Results121 children were managed for intussusception during this period. 53 (43.8%) had bowel resection, 61 (50.4%) did not require resection and 7 (5.8%) were unknown. 40 (75.5%) of the resections were right hemi-colectomy. The presence of fever, abdominal pain, distension, rectal mass, age < 12 months, heart rate > 145/min and duration of symptoms > 2 days were associated with the need for bowel resection (p < 0.05). However, only age and abdominal pain independently predicted need for resection. Bowel resection was more associated with development of post-operative complications and prolonged hospital stay (p < 0.05).ConclusionInfants presenting with abdominal pain and abdominal distension after two days of onset of symptoms were more likely to require bowel resection. Resection in intussusception significantly increased post-operative complications and length of hospital stay.© 2020 Ajao AE et al.

26 keywords...

hide…