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Addressing Challenges in the Management of Paediatric Intussusceptions in the District Hospital

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DOI: 10.4236/ojped.2014.44035    2,518 Downloads   3,196 Views  

ABSTRACT

Intussusception is the leading cause of intestinal obstruction in children and its management can be challenging especially in centres with inadequate resources where this problem becomes more daunting. Nineteen cases of intussusception in the paediatric age group which were managed by medical officers in a district Hospital in Ghana are discussed. The outcomes of cases treated by open surgery, and those managed by pneumatic reduction were studied. We highlight the use of an improvised set up used in achieving pneumatic reduction thereby obviating operative reduction.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Gudugbe, S. , Dakubo, J. and Essoun, S. (2014) Addressing Challenges in the Management of Paediatric Intussusceptions in the District Hospital. Open Journal of Pediatrics, 4, 257-261. doi: 10.4236/ojped.2014.44035.

References

[1] Lloyd, D.A. and Kenny, S.E. (2004) The Surgical Abdomen. In: Walker, W.A., Goulet, O., Kleinman, R.E., et al., Eds, Pediatric Gastrointestinal Disease: Pathopsychology, Diagnosis, Management, 4th Edition, BC Decker, Ontario, 604.
[2] DiFiore, J.W. (1999) Intussusception. Seminars in Pediatric Surgery, 8, 214-220.
[3] Blanco, F.C., Cuffari, C., Chahine, A.A., King, L., Wilkes, G., Nazer, H., Windle, M.L., Li, B.U.K. and Young, M.G. Intussusception. http://emedicine.medscape.com/article/930708-overview
[4] Simpson, T., Ivey, J. and Borkowski, S. (2004) Pediatric Management Problems. Intussusception. Pediatric Nursing, 30, 326-327.
[5] Nmadu, P.T. (1992) The Changing Pattern of Intussusception in Northern Nigeria: An Analysis of 85 Consecutive Cases. East African Medical Journal, 69, 640-642.
[6] Munkonge, L. (1983) Experience in the Management of Intussusception in Zambian Children. Medical Journal of Zambia, 17, 56-58.
[7] Postma, M.H. and Hadley, G.P. (1985) Intussusception in Black Children. South African Medical Journal, 68, 405-406.
[8] Abatanga, F.A., et al. (2008) Pneumatic Reduction of Intussusception in Children at the Komfo Anokye Hospital, Kumasi, Ghana. East African Medical Journal, 85, 550-555.
[9] Mensah, Y.B., et al. (2011) Pneumatic Reduction of Intussusception in Children at Korle Bu Teaching Hospital: An Initial Experience. African Journal of Paediatric Surgery, 8, 176-181.
[10] Zulfiqar, M.A., Noryati, M., Hamzaini, A.H. and Thambidorai, C.R. (2006) Pneumatic Reduction of Intussusception Using Equipment Readily Available in the Hospital. Medical Journal of Malaysia, 61.
[11] Gilmore, A.W., Reed, M. and Tenenbein, M. (2010) Management of Childhood Intussusception after Reduction by Enema. The American Journal of Emergency Medicine.
[12] Herwig, K., Brenkert, T. and Losek, J.D. (2009) Enema-Reduced Intussusception Management: Is Hospitalization Necessary? Pediatric Emergency Care, 25, 74-77.
http://dx.doi.org/10.1097/PEC.0b013e318196ea2d
[13] Ameh, E.A. (2002) The Morbidity and Mortality of Laparotomy for Uncomplicated Intussusception in Children. West African Journal of Medicine, 21, 115-116.

  
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