RECURRENCE OF INTESTINAL INTUSSUSCEPTION IN CHILDREN

Abstract

Purpose. To evaluate outcomes in care of children with intestinal intussusception and to analyze the cause of recurrences of the disease. Material and methods. 196 children with intestinal intussusception were taken into the study. In 2009-2019, they all had standard examination, including ultrasound, radiography, laparoscopy and histological examination of the removed tissues. Results and discussions. 32 patients out of 196 children had a disease relapse. It developed after conservative desinvagination. These relapses developed: in 8 children because of the sagging of ileum mucosa into the cecum; in 4 patients- Mechelen diverticulum; in 6 - tumors of the ileocecal angle; in 8 children - hyperplasia of the lymph nodes of the mesentery. In 6 children the cause of intussusception recurrence was not defined. Conservative and laparoscopic desinvagination was not successful in any of cases with returned intussusception. Conclusion. 1) In most cases, intussusception recurrence in children was caused by mechanical factors: sagging of the ileum mucous into the cecum, Mechelen diverticulum, tumors of the ileocecal angle. 2) In case of intussusception recurrence, diagnostic laparotomy and revision of the abdominal cavity are recommended.