@article{article_1563168, title={OUR CLINICAL EXPERIENCE IN INTESTINAL INTUSSUSCEPTION SURGERY IN ADULTS}, journal={Balıkesir Atatürk Şehir Hastanesi Tıp Dergisi}, volume={1}, pages={7–14}, year={2024}, author={Bulut, Can İbrahim and Küçük, Ali İmran and Sakallı, Onur}, keywords={intussusception, emergency surgery, acute abdomen, adult}, abstract={Introduction: Intussusception is the invagination of a proximal segment of the intestine into the lumen of an adjacent distal segment. Although it is rarely seen in adults, it is a common condition in childhood. Materials and Method: Patients aged 18-80 years who underwent surgery for intestinal intussusception between 2017 and 2022 at HSUT Balıkesir Atatürk City Hospital were retrospectively evaluated. Patients under 18 and over 80 years of age and patients who did not undergo any surgical procedure were excluded from the study. In this context, 17 patients were included in our study. Findings: Seventeen patients who met the criteria were included in our study. Six of the patients were female and 11 were male with a mean age of 43.4 years (19-78). Abdominal tomography was performed in all seventeen patients and intussusception was diagnosed in sixteen patients (94,1%). Four patients underwent preoperative colonoscopy and mass and intussusception were identified in three of these patients. The types of operations performed were segmentary resection + anastomosis in nine patients, ileocecal resection + anastomosis in two patients, right hemicolectomy + anastomosis in four patients, right hemicolectomy + end ileostomy in one patient and subtotal colectomy in one patient. Two patients developed wound site skin infection postoperatively and one of these patients developed eventration at the same time. Postoperative pathological examination revealed malignancy in five patients; adenocarcinoma in three patients, gastrointestinal stromal tumor (GIST) in one patient and lymphoma in one patient. Polyps were seen in five patients and lipomas were detected in two patients. In four patients, the primary cause of intussusception could not be identified and was reported as idiopathic. In only one patient, intussusception due to postoperative (after appendectomy) adhesions was detected intraoperatively. Discussion: Intussusception in adults is an acute onset disease. Preoperative diagnosis is difficult in these patients due to the lack of specific findings. Delayed diagnosis may lead to high mortality. As previously mentioned, intussusception is 20 times more common in pediatric age group than in adults. Intussusceptions in the adult age group account for less than 5% of all cases of intussusception, but only 1% of patients with signs of ileus. In a large-scale study, the rates of enteric, ileocolic and colonic types were found to be 49.5%, 29.1% and 19.9%, respectively. In our study, these rates were 52.9%, 41.1% and 5.8%, respectively. Although our rates are compatible with the literature, geographical differences and dietary habits affect these rates. Intussusception is a difficult disease to diagnose. In one study, the preoperative diagnosis rate was below 50%. In our study, this rate was 88.2%. Physical examination findings of the patients vary. Conclusion: Intussusception in adults is a rare disease with acute onset that is difficult to diagnose. The diagnosis and treatment of these patients may be delayed. Cross-sectional imaging methods should be used in cases of suspicion. Delayed diagnosis may be associated with high morbidity and mortality rates. Treatment is mainly surgical.}, number={1}, publisher={Balıkesir Atatürk Şehir Hastanesi}