Starting on:
Feb 25, 2025
Ending on:
Feb 25, 2025
Moderator(s):
Venue:
KUTRRH
Max Credits:
3 Points
Provider:
Kenyatta University Teaching and Referral Hospital
Claim Points
Feb 25, 2025
Ending on:
Feb 25, 2025
Moderator(s):
KUTRRH
Max Credits:
3 Points
Provider:
Kenyatta University Teaching and Referral Hospital
Claim Points
Intussusception
Starting on:
Feb 25, 2025
Feb 25, 2025
Ending on:
Feb 25, 2025
Feb 25, 2025
Venue:
KUTRRH
KUTRRH
Description
Introduction Definition: Acquired invagination of the proximal bowel (intussusceptum) into the distal bowel (intussuscipiens). Historical background: First described in 1674 by Paul Barbette. Defined by Treves in 1899. First successful operation by John Hutchinson in 1873. Most common cause of bowel obstruction in infants and toddlers (4-9 months).
Objectives
a) Nonoperative Management
Initial Steps:
Bowel rest and intravenous fluid resuscitation.
Nasogastric decompression if needed.
Reduction Techniques:
Air or contrast enema: First-line treatment (120ccH2O, 100cmH2O).
Success rate: ~85% for uncomplicated cases.
Contraindications: Intestinal perforation, peritonitis, or persistent hypotension.
Monitoring:
Observe for signs of ischemic bowel or recurrence post-reduction.
b) Operative Management
Indications:
Failed nonoperative reduction.
Evidence of peritonitis or bowel ischemia.
Identifiable lead point.
Open Approach:
Right lower quadrant incision.
Gentle manipulation to reduce intussusception.
Laparoscopic Approach:
Increasingly preferred for diagnostic and therapeutic purposes.
Requires adequate visualization; may require conversion to open surgery.
Presenters
-
Dr.
Onle Yusuf
Dr