ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2011
Adult intussusception in the last 25 years of modern imaging: is surgery still indicated?
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.
- Adult intussusception: a systematic review and meta-analysis.Techniques in coloproctology · 2019Pooled it
- Malignancy risk and management outcomes in adult intussusception: a single-institution retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Metastatic de novo lung cancer presenting as acute jejunojejunal intussusception: an unusual case report.Discover oncology · 2025Article
- Idiopathic Adult Ileocolic Intussusception Mimicking Cecal Carcinoma: A Case Report and Literature Review.Surgical case reports · 2025Article
- Adult Intussusception in Jordan: Demographics, Clinical Features, and Outcomes from a Tertiary Hospital.Medical science monitor basic research · 2024Article
- Colonic intussusception after endoscopic mucosal resection successfully managed by endoscopic procedure.Clinical journal of gastroenterology · 2024Article
- Article
- A Case of Long-Tract Ileocolic Intussusception Secondary to Well-Differentiated Cecal Adenocarcinoma.Cureus · 2024Article
- Proposal of a Risk Scoring System to Facilitate the Treatment of Enteroenteric Intussusception in Peutz-Jeghers Syndrome.Gut and liver · 2023Article
- Transient Intussusception Mimicking Acute Coronary Syndrome.Case reports in gastrointestinal medicine · 2023Article
- Laparoscopic Surgery for Adult Intussusception: Case Series.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021Article
- Bowel intussusception in adult: Prevalence, diagnostic tools and therapy.World journal of methodology · 2021Review
- Bleeding Edge Therapy: Ileocolic Intussusception Due to Ileocecal Valve Adenocarcinoma and Its Management in an Adult Patient-Case Report and Literature Review.Digestive diseases and sciences · 2021Review
- Adult Intussusception: An Uncommon Condition and Challenging Management.Visceral medicine · 2021Article
- Intussusception in Adults: A Retrospective Review from a Single Institution.Open access emergency medicine : OAEM · 2021Article
- Endoscopic reduction of colocolonic intussusception due to metastatic malignant melanoma: A case report.World journal of clinical cases · 2020Article
- Ulcerated intussuscepted jejunal lipoma-uncommon cause of obscure gastrointestinal bleeding: A case report.World journal of clinical cases · 2019Article
- Gastro-gastric intussusception in the setting of a neuroendocrine tumor: A case report.World journal of clinical cases · 2019Article
- Intussusception in the Setting of Tuberous Sclerosis Complex.ACG case reports journal · 2019Article
- Dual-phase computed tomography angiography of intestinal carcinoid tumor as a lead point for cecocolic intussusception in a dog.The Journal of veterinary medical science · 2019Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBecause most adult intussusceptions are reportedly due to malignancy, operative treatment is recommended. With current availability of computed tomography, we questioned the role of mandatory operative exploration for all adult intussusceptions.
methodsThis study is a retrospective review of all adults treated from 1983 to 2008 at a large tertiary referral center for intussusception.
resultsOne hundred ninety-six patients had intussusception over the 25-year study period. Computed tomography was obtained in 60% of patients. Neoplasms [malignant, (21%); benign, (24%)] were the commonest etiology; 30% cases were idiopathic. One hundred twenty (61%) patients underwent operative treatment for intussusception. Six of the 58 idiopathic or asymptomatic cases were operated on with negative findings in all. Palpable mass (OR 4.56, p < 0.035), obstructive symptoms (OR 9.13, p < 0.001) or obstruction (OR 9.67, p < 0.001), GI bleeding (OR 14.41, p < 0.001), and a lead point on computed tomography (OR 10.08, p < 0.001) were associated with the need for operation.
conclusionIn the current era of computed tomography, idiopathic or asymptomatic intussusception is being seen more commonly; however, the majority of adult intussusceptions still have pathologic lead points. From our experience, all patients with palpable mass, obstructive symptoms or obstruction, gastrointestinal bleeding, or a lead point on computed tomography should undergo operative exploration.
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