A 5-year retrospective evaluation of invagination cases: A single-centre experience
2021
Abstract Background Invagination is a type of strangulation in which blood vessels in the mesentery of proximal intestine enter the distal intestine (intussusception) trapped between the two intestinal walls to allow necrosis. The purpose of this study was to determine the distribution of invagination cases based on demographic characteristics, clinical manifestations, type of invagination, management, and outcomes. Methods This study was a retrospective study conducted at our institution based on the medical Records section by collecting data on invagination patient within 2013–2017. Results There are 37 cases were obtained, 33 cases of which performed surgery. The average incidence is 6.6 cases per year. The distribution of invagination cases by age group was highest in the age range of 0–6 months by 11 cases (33.3%). Based on sex, most of the males with 24 cases (72.7%), the most predisposing factor is diarrhea with 18 cases (54.5%). Based on the chief complaint, the most complaint is the red currant jelly stool which was 17 cases (45.4%), the duration of the incident until the patient gets treat, the most at 3 days with 9 cases (27.2%). Based on the type of invagination the most was ileocolic, which was 15 cases (45.4%), the most type of treatment was anastomose resection, which was 21 cases (63.6%). And based on the surgery results of 33 invaginated patients, the most were 27 cases (81.8%) patients alive (cured). Conclusion Invagination is predominant in male, with the most predisposing factor is diarrhea, and the main complaint is the presence of red currant jelly stool. There were excellent or good surgical outcomes in 27 patients.
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