Clinico-pathological Features of Colonic Intussusception in Adults

Tung-Cheng Chang, Jin-Tung Liang, Ben-Ren Lin, John Huang, Hong-Mau Lin

Research output: Contribution to journalArticle

Abstract

Purpose. Adult intussusception is a uncommon disease, and the colonic inrussusception is less than enteric intussusception. Because of the limited experience with such clinical entities, we report a series of adult colonic intussusception to discuss diagnosis and treatment. Methods. From January 1997 to December 2008, a total of 18 patients with adult colonic intussusceptions were reviewed. We divided the patients into colocolic group and ileocolic group and analyzed the data of these 18 patients. Results. There were 11 ileocolic intussusception and 7 colocolic intussusception. The mean duration of symptoms was 22.2 days (range 1 to 105 days), and abdominal pain was represented in all patients. Only one patient underwent hydrostatic reduction without operation and others underwent bowel resection with organic lesion. One hundred percent of colocolic intussusception cases were malignant lesions and this was more than ileocolic intussusceptions (27% and p<0.001). All patients with colon cancer had a favorable outcome and are still alive. Conclusion. Colonic intussusception in adults is a rare disease. Abdominal pain is complained of by all patients but the symptoms have various duration. Abdominal ultrasonography and computed tomography are useful tools for colonic intussusception diagnosis. In our study, colocolic intussusception had more malignant probability than ileocolic intussusception. Primary resection with associated lymph node dissection without reduction is the principle method of treatment.
Original languageEnglish
Pages (from-to)23-28
Number of pages6
Journal中華民國大腸直腸外科醫學會雜誌
Volume21
Issue number1
DOIs
Publication statusPublished - 2010

Fingerprint

Intussusception
Abdominal Pain
Colonic Diseases
Rare Diseases
Lymph Node Excision
Colonic Neoplasms
Ultrasonography
Tomography

Keywords

  • 成人
  • 大腸
  • 腸套疊
  • Adult
  • Colon
  • Intussusception

Cite this

Clinico-pathological Features of Colonic Intussusception in Adults. / Chang, Tung-Cheng; Liang, Jin-Tung; Lin, Ben-Ren; Huang, John; Lin, Hong-Mau.

In: 中華民國大腸直腸外科醫學會雜誌, Vol. 21, No. 1, 2010, p. 23-28.

Research output: Contribution to journalArticle

Chang, Tung-Cheng ; Liang, Jin-Tung ; Lin, Ben-Ren ; Huang, John ; Lin, Hong-Mau. / Clinico-pathological Features of Colonic Intussusception in Adults. In: 中華民國大腸直腸外科醫學會雜誌. 2010 ; Vol. 21, No. 1. pp. 23-28.
@article{4344d4b3561340d2b0dbc27bfbf011eb,
title = "Clinico-pathological Features of Colonic Intussusception in Adults",
abstract = "Purpose. Adult intussusception is a uncommon disease, and the colonic inrussusception is less than enteric intussusception. Because of the limited experience with such clinical entities, we report a series of adult colonic intussusception to discuss diagnosis and treatment. Methods. From January 1997 to December 2008, a total of 18 patients with adult colonic intussusceptions were reviewed. We divided the patients into colocolic group and ileocolic group and analyzed the data of these 18 patients. Results. There were 11 ileocolic intussusception and 7 colocolic intussusception. The mean duration of symptoms was 22.2 days (range 1 to 105 days), and abdominal pain was represented in all patients. Only one patient underwent hydrostatic reduction without operation and others underwent bowel resection with organic lesion. One hundred percent of colocolic intussusception cases were malignant lesions and this was more than ileocolic intussusceptions (27{\%} and p<0.001). All patients with colon cancer had a favorable outcome and are still alive. Conclusion. Colonic intussusception in adults is a rare disease. Abdominal pain is complained of by all patients but the symptoms have various duration. Abdominal ultrasonography and computed tomography are useful tools for colonic intussusception diagnosis. In our study, colocolic intussusception had more malignant probability than ileocolic intussusception. Primary resection with associated lymph node dissection without reduction is the principle method of treatment.",
keywords = "成人, 大腸, 腸套疊, Adult, Colon, Intussusception",
author = "Tung-Cheng Chang and Jin-Tung Liang and Ben-Ren Lin and John Huang and Hong-Mau Lin",
year = "2010",
doi = "10.6312/SCRSTW.2010.21",
language = "English",
volume = "21",
pages = "23--28",
journal = "中華民國大腸直腸外科醫學會雜誌",
issn = "1726-359X",
publisher = "中華民國大腸直腸外科醫學會",
number = "1",

}

TY - JOUR

T1 - Clinico-pathological Features of Colonic Intussusception in Adults

AU - Chang, Tung-Cheng

AU - Liang, Jin-Tung

AU - Lin, Ben-Ren

AU - Huang, John

AU - Lin, Hong-Mau

PY - 2010

Y1 - 2010

N2 - Purpose. Adult intussusception is a uncommon disease, and the colonic inrussusception is less than enteric intussusception. Because of the limited experience with such clinical entities, we report a series of adult colonic intussusception to discuss diagnosis and treatment. Methods. From January 1997 to December 2008, a total of 18 patients with adult colonic intussusceptions were reviewed. We divided the patients into colocolic group and ileocolic group and analyzed the data of these 18 patients. Results. There were 11 ileocolic intussusception and 7 colocolic intussusception. The mean duration of symptoms was 22.2 days (range 1 to 105 days), and abdominal pain was represented in all patients. Only one patient underwent hydrostatic reduction without operation and others underwent bowel resection with organic lesion. One hundred percent of colocolic intussusception cases were malignant lesions and this was more than ileocolic intussusceptions (27% and p<0.001). All patients with colon cancer had a favorable outcome and are still alive. Conclusion. Colonic intussusception in adults is a rare disease. Abdominal pain is complained of by all patients but the symptoms have various duration. Abdominal ultrasonography and computed tomography are useful tools for colonic intussusception diagnosis. In our study, colocolic intussusception had more malignant probability than ileocolic intussusception. Primary resection with associated lymph node dissection without reduction is the principle method of treatment.

AB - Purpose. Adult intussusception is a uncommon disease, and the colonic inrussusception is less than enteric intussusception. Because of the limited experience with such clinical entities, we report a series of adult colonic intussusception to discuss diagnosis and treatment. Methods. From January 1997 to December 2008, a total of 18 patients with adult colonic intussusceptions were reviewed. We divided the patients into colocolic group and ileocolic group and analyzed the data of these 18 patients. Results. There were 11 ileocolic intussusception and 7 colocolic intussusception. The mean duration of symptoms was 22.2 days (range 1 to 105 days), and abdominal pain was represented in all patients. Only one patient underwent hydrostatic reduction without operation and others underwent bowel resection with organic lesion. One hundred percent of colocolic intussusception cases were malignant lesions and this was more than ileocolic intussusceptions (27% and p<0.001). All patients with colon cancer had a favorable outcome and are still alive. Conclusion. Colonic intussusception in adults is a rare disease. Abdominal pain is complained of by all patients but the symptoms have various duration. Abdominal ultrasonography and computed tomography are useful tools for colonic intussusception diagnosis. In our study, colocolic intussusception had more malignant probability than ileocolic intussusception. Primary resection with associated lymph node dissection without reduction is the principle method of treatment.

KW - 成人

KW - 大腸

KW - 腸套疊

KW - Adult

KW - Colon

KW - Intussusception

U2 - 10.6312/SCRSTW.2010.21

DO - 10.6312/SCRSTW.2010.21

M3 - Article

VL - 21

SP - 23

EP - 28

JO - 中華民國大腸直腸外科醫學會雜誌

JF - 中華民國大腸直腸外科醫學會雜誌

SN - 1726-359X

IS - 1

ER -