What Is Intussusception?

Intussusception (pronounced in-tuss-uss-EPP-shun) is a condition that occurs when one segment of the intestine slides into the segment next to it, like a telescope. When this happens, the walls of the intestine press against each other. This blocks the flow of stool (feces). The area that is blocked hurts and swells. Pressure cuts off blood flow to the intestine, which can damage the tissue. Intussusception needs treatment right away to prevent serious health problems.

Intussusception in Children
Any child can get this condition, but it's most common in children 6 months to 2 years old. In fact, it's the most common belly (abdominal) emergency in children in this age range. About 1 to 4 children in 1,000 get intussusception.

Intussusception at Seattle Childrens

We treat many children every year with intussusception. In most cases, they don't need surgery. Among hospitals in Washington, Seattle Children's has the lowest rate of operating on children with intussusception. While we can help most of these children without surgery, some do need an operation. Our surgeons are experienced at performing surgery to repair intussusception. When you come to Seattle Children's, you have a team of people to care for your child before, during and after surgery. Along with your child's surgeon, you are connected with nurses, dietitians, child life specialists, social workers and others. We work together to meet all of your child's health needs and help your family through this experience. Since 1907, Seattle Children's has been treating children only. Our team members are trained in their fields and also in meeting the unique needs of children. For example, the doctors who give your child anesthesia are board certified in pediatric anesthesiology. This means they have extra years of training in how to take care of kids. Our child life specialists know how to help children understand their illnesses and treatments in ways that make sense for their age. Our expertise in pediatrics truly makes a difference for our patients and families.

Symptoms of Intussusception

Intussusception causes pain in the belly for almost all children who have the condition. In many cases, the pain: Is intense Starts suddenly Comes and goes Tends to get worse each time it returns Children with pain from intussusception may cry and draw their knees up to their chest. When the pain is gone, the child may seem fine. Your child may also have any of these symptoms: Swelling in the belly Blood and mucus in the stool, which may look purple Vomiting Sluggishness (lethargy) Weakness Fever

Intussusception Diagnosis
The doctor will ask about your child's symptoms. The doctor will also ask you about your child's medical history. Often, children with intussusception have had a recent history of stomach pain and swelling, constipation and bleeding where the stool leaves the body (anus). The doctor will also give your child a physical exam. They will check your child's belly, and feel for swollen, blocked sections of intestine. The doctor will also look for signs of dehydration and shock. So your child's doctor can see the intestine, your child may have an Xray or& ultrasound exam of their belly. Doctors also can use ultrasound to screen for intussusception. Your child may also need to have a test called a contrast enema. The doctor puts contrast agent, either air or barium, through your child's anus into the intestine and takes X-rays. The air or barium helps the intestine show up on the X-rays. Contrast enemas can also be used to treat intussusception. Putting the contrast agent in the intestine sometimes makes the telescoped section open up. At Seattle Children's, doctors usually use air when they do this test. Barium may be used if the air enema did not work or if doctors cannot tell if the intussusception was opened up.

Intussusception Treatment Options

Treatment for intussusception begins with doctors giving your child an enema. The enema may gently push the telescoped section of intestine back to its proper position. Doctors call this treatment "reducing the intussusception." Doctors at Seattle Children's usually try to fix the problem with an air enema first. They put air into the intestine through a tube placed in your child's anus. If this doesn't work, doctors may try a liquid enema. The liquid contains dye that shows up on an X-ray. This is called a contrast enema. It may work even if the air enema did not. Contrast enemas are useful even if they don't push your child's intestine into place. The X-rays made during the process help doctors see where the blockage is. They may help with surgery. If enema treatment works, your child most likely will stay in the hospital overnight. This way we can make sure your child is able to eat food and pass stool.

Surgery for Intussusception

If the enema doesn't work, your child will need surgery right away. Your child may also have surgery before having an enema if the doctor thinks the intestine has been damaged by the intussusception. This is not common, though. At the time of surgery, we will give your child medicine to make them sleep without pain (general anesthesia). Then the surgeon will make a cut, or incision, in your child's belly. The surgeon may do this operation: Through three or four tiny cuts (laparoscopic surgery) Through one larger incision (open surgery) Your child's surgeon will talk with you about which option may be best for your child. Then the surgeon will squeeze the telescoped intestine back into place, if possible. If the intestine is severely damaged or cannot be squeezed back into place, the surgeon will cut out the damaged section and sew the loose ends together. Very often, surgeons remove the child's appendix during this operation.

The length of the surgery depends on what your child needs. It takes 30 minutes to an hour, sometimes longer. Your child will be in the recovery room for another hour. Convex abdomen: ileus obstruktif or paralitik : suatu gang sal pencernaan, menghambat jalanan makanan atau sisa makanan atau udara. Mampet, jd nya cembung. Pd invaginasi, menyebabkan ileus ostruktif (pergerakan baik baik saja tapi mampet) pd usus, klo paralitik pergerakan usus terganggu.