OUR EXPERIENCE OF DIAGNOSTICS AND TREATMENT OF INTESTINAL INTUSSUSCEPTION IN CHILDREN
In the period between 2011-2017 we observed 386 children with intestinal intussusceptions aged between 4 months and 7 years old. The patients were at the inpatient surgical care unit of pediatric ward of Samara regional clinical hospital named after V.D. Seredavin. The absolute majority were infants (224). Out of 386 patients 251 children admitted in the first 24 hours of the disease, 96 – during the first 48 hours, 3 – during 72 and 6 – during 96 hours starting from the outbreak of the disease. Apart from clinical examination ultrasound and x-ray examinations were applied. 314 patients successfully reacted on the conservative treatment, 72 have underwent surgical interventions. Laparoscopy has been performed to 48 patient, 24 have underwent laporotomy for the reduction of intussusception. 1 resection of ileum was performed to a child with ileo-colic intussusception because of its necrosis. In 2 cases of intussusceptions Meckel's diverticulum was named as the reason, the rest of the patients haven't shown any signs of organic reasons. All the children were discharged under satisfactory conditions. No one died. 15 patients out of 386 have shown the relapse after conservative treatment.