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    Intussusception

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    Aireen Mae P. Napigkit
    Intussusception is a medical condition where a section of the intestine telescopes into an adjacent section, causing an obstruction. It most commonly affects children under 3 years old, especially between 5-10 months of age. Without treatment, the blocked intestine can die and lead to life-threatening complications. The cause is often unknown but may be related to viral infections or anatomical abnormalities. Diagnosis involves x-rays or ultrasounds to locate the blocked area, and treatment consists of surgical reduction of the telescoped sections or resection if the tissue has died.

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    Intussusception

    Uploaded by

    Aireen Mae P. Napigkit
    99 views2 pages
    Intussusception is a medical condition where a section of the intestine telescopes into an adjacent section, causing an obstruction. It most commonly affects children under 3 years old, especially between 5-10 months of age. Without treatment, the blocked intestine can die and lead to life-threatening complications. The cause is often unknown but may be related to viral infections or anatomical abnormalities. Diagnosis involves x-rays or ultrasounds to locate the blocked area, and treatment consists of surgical reduction of the telescoped sections or resection if the tissue has died.

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    Intussusception is a medical condition where a section of the intestine telescopes into an adjacent section, causing an obstruction. It most commonly affects children under 3 years old, especially between 5-10 months of age. Without treatment, the blocked intestine can die and lead to life-threatening complications. The cause is often unknown but may be related to viral infections or anatomical abnormalities. Diagnosis involves x-rays or ultrasounds to locate the blocked area, and treatment consists of surgical reduction of the telescoped sections or resection if the tissue has died.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    99 views2 pages

    Intussusception

    Uploaded by

    Aireen Mae P. Napigkit
    Intussusception is a medical condition where a section of the intestine telescopes into an adjacent section, causing an obstruction. It most commonly affects children under 3 years old, especially between 5-10 months of age. Without treatment, the blocked intestine can die and lead to life-threatening complications. The cause is often unknown but may be related to viral infections or anatomical abnormalities. Diagnosis involves x-rays or ultrasounds to locate the blocked area, and treatment consists of surgical reduction of the telescoped sections or resection if the tissue has died.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Intussusception

    It is the telescoping of a portion of the intestine into a adjacent, more distal section of the intestine causing mechanical obstruction. It occurs in children younger than age 3, most commonly ages 5 to 10 months. Without prompt treatment, necrosis of the involved segment leads to shock, perforation, and peritonitis. The cause may be idiopathic (unknown but following a viral infection); lead point (change in the mucosa from another condition such as cystic fibrosis, Meckels diverticulum, or hematoma); or post operative.

    Intussusception

    Assessment:

    Increasing absence of stools Abdominal distention, bowel sound diminished, absent or high pitch Sausage like mass palpable in abdomen (Dances sign) Dehydration and fever Shock like state with rapid pulse, pallor, and marked sweating Paroxysmal abdominal pain; legs drawn up, child is inconsolable; may be comfortable between episodes Blood in stool, or later currant jelly stools containing sloughed mucosa, blood, and mucus Vomiting Unusual looking anus; may look like rectal prolapsed Diagnostic Evaluation:

    X-ray of abdomen- may show absence of gas or mass in right upper quadrant Barium enema- is done if there is no appearance of peritonitis; shows a concave filling defect (will help reduce the invagination) Ultrasonogram- may be done to locate area of telescoped bowel Color Doppler sonography- determines whether reducible. Absence of blood flow indicates ischemia and, therefore, enema reduction should be avoided Surgical Intervention: Intussusception can be surgically reduced, resection may be necessary if bowel is nonviable. Nursing Intervention:

    Monitor vital signs, urine output, pain, distention, and general behavior preoperatively and postoperatively. After reduction by hydrostatic enema, monitor vital signs and general condition especially abdominal tenderness, bowel sounds, lethargy, and tolerance to fluids to watch recurrence. Encourage follow up care. Provide anticipatory guidance for developmental age of child. Monitor I.V. fluids and intake and output to guide in fluid balance. Be alert for respiratory distress due to abdominal distention. Administer analgesic as prescribed. Maintain NPO status as ordered. Observe infants behavior as indicator of pain; may be irritable and very sensitive to handling or lethargic or unresponsive. Handle the infant gently. Explain cause of pain to parents, and reassure them about purpose of diagnostic tests and treatments. Insert nasogastric tube if ordered to decompress stomach. Continually reassess condition because increased pain and bloody stools may indicate perforation

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