What is this disease?

• Intussusception is a condition where the bowel ‘telescopes’ in on itself. This causes the bowel walls to press on one another, obstructing the intestine and it can lead to reduced blood flow to that part of the intestine.

How it is diagnosed?

• Clinical examination may lead to a palpable mass. Otherwise USG is diagnostic in most cases. Rarely CECT may be needed, especially for chronic small intestinal obstruction.

How it is treated?

• Options for treatment include air enema, hydrostatic reduction and surgery (open or laparoscopic).

When it should be operated?

• It is an emergency situation and after initial rapid stabilization, one of the above options may be chosen by the pediatric surgeon.

Are there other alternative methods of treatment?

• Conservative management is used for small intestinal intussusception, but not for common ileocolic  or colocolic variety.

What all I need to know before my child surgery?

• Read “All you need to know before your child’s surgery” information booklet in website

How is the surgery done?

• Surgery is done to excise the lesion, preserving vital structures.

Remarks

• For more details of surgery, contact your surgeon.

Related Photographs and videos

• Few photographs of steps done by me and video link are given here for learning purposes.