2023 Volume 59 Issue 6 Pages 979-985
Purpose: In pediatric intussusception, an organic disease may be recognized when repeated intussusception occurs.
Methods: From 2007 to 2022, 18 patients with intussusception who underwent surgery at our hospital’s Pediatric Surgery Department were examined.
Results: (1) Age: 4 months to 11 years; average age, 38 months. Seven patients were younger than 1 year of age. (2) Gender: 12 males and 6 females. (3) Surgical method: 10 patients underwent laparoscopic surgery, 7 underwent open surgery, and 1 underwent transition from laparoscopic surgery to open surgery. (4) Intussusception type: 4 cases of small intestine–small intestine type, 12 cases of small intestine-colon type, and 2 cases without intussusception. (5) Presence or absence of advanced lesions: 10 without and 8 with the lesions; 1 case of Burkitt’s lymphoma, 3 cases of Meckel’s diverticulum, 1 case of Peyer’s patch, 1 case of appendicitis, 1 case of mesenteric lymphadenitis, and 1 case of Peutz–Jeghers polyposis. (6) Recurrent cases of intussusception: 8 patients had repeated recurrences, 6 patients had organic diseases, namely, 2 with Meckel’s diverticula, 1 with Peyer’s patch, 1 with appendicitis, 1 with mesenteric lymphadenitis, and 1 with Peutz–Jeghers polyposis, aged 4 months, 6 months, 8 months, 1 year and 5 months, 3 years, 9 years, and under 5 years of age. In cases of 2 or more repeated recurrences, it seems difficult to say whether pathologically advanced lesions can be diagnosed when there is no intussusception.
Conclusions: When preschool children repeatedly develop intussusception, we believe that staging laparoscopy should be actively performed to investigate the cause.
