Intussusception - Treatment

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What kinds of treatment, including surgery, did you or your child receive for an intussusception?

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Is it necessary to operate when there is intussusception?

The treatment of intussusception may or may not require surgery. In some cases, the intestinal obstruction can be reversed with an enema. The enema carries a risk of intestinal rupture and cannot be done if the bowel has already perforated. The procedure also requires the availability of a surgeon, in case the patient's bowel ruptures or the intussusception cannot be reduced.

If the intestinal obstruction cannot be reversed by an enema, surgery is necessary to reverse the intussusception and relieve the obstruction. If a portion of the intestine has become gangrenous, it must be removed. After surgery, intravenous feeding and fluids are continued until normal bowel movements resume. Because of the risk of recurrence, patients who are successfully reduced by enema usually are admitted for observation during the first 24 hours post procedure, and have no ill effects. Recently, research has suggested that a select population of the children may be observed for shorter periods of time (6 hours) after undergoing reduction of the intussesception by enema, but currently, most patients stay the full 24 hours.

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Comment from: Ok now, 55-64 Male (Patient) Published: June 29

I had a routine colonoscopy which went well and was released after the procedure. Three hours later I started getting a gas-like pain but thought nothing of it. Three hours later I was carried in an ambulance to the hospital where they eventually diagnosed an intussusception via an x-ray and then a CAT scan with contrast. The surgeon and his assistant had never seen this in an adult before. They performed laparoscopic surgery to pull the bowel back into place. They wanted to release me later that day but I refused to go as I had not eaten solid food yet, passed neither gas nor had a bowel movement. I developed fever of 102 and 103 in the next days. Suspected pneumonia but I was released after a total of 4 days. I have total lethargy still after 2 weeks. I am on iron supplements and multi vitamins but have no energy. I feel awful but at least I am up and about. I had a black and tarry stool today so am returning to the doctor tomorrow. I will post updates.

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