Evaluation of the Relationship Between Surgical Treatment Indication and Ultrasonography Findings in Patients We Follow Up for Invagination

Öz

Aim: The most important cause of surgical acute abdomen in children under two years of age is intussusception. This study was planned to show the relationship between patients requiring surgical treatment and ultrasonography findings. Material and Methods: Intussusception patients who were followed up in Duzce University Medical Faculty Research and Application Hospital Pediatric Surgery Clinic between 01/01/2011-31/12/2020 were included in this study. The information was obtained retrospectively of file scanning. Results: The average age of our patients was 2.5 years, and most of them were seen to apply in the summer months, when diarrhea is common. Most of the patients (98 patients and 62.8%) were diagnosed with the target sign finding in USG. Twenty-two of the patients (14.1%) were diagnosed with intussusception with a measurement of 20mm, and 36 patients (23.1%) with a measurement of >20mm. While 50% of patients diagnosed under two years of age were diagnosed with intussusception as a target sign on USG, this rate was 60 patients (75%) in patients 2 years old, and there was a statistically significant difference (p=0.04). This was a finding consistent with the greater need for surgical treatment in patients under 2 years old. Conclusions: Patients under the age of two who are diagnosed with a measurement of >20 mm on USG, especially, should be observed more closely than others in terms of the need for surgical treatment. Since most of the non-operated patients are diagnosed with USG with target sign findings, they can be observed more comfortably in their observation.

Anahtar Kelimeler

• invagination
• USG
• surgery
• medical

İnvajinasyon Nedeni ile Takip Ettiğimiz Hastalarda Cerrahi Tedavi Endikasyonu ile Ultrasonografi Bulguları Arasındaki İlişkinin Değerlendirilmesi

Öz

Amaç: İki yaş altı çocuklarda cerrahi akut karının en önemli sebebi invajinasyondur. Bu çalışma cerrahi tedavi gereken hastalarla ultrasonografi (USG) bulguları arasındaki ilişkiyi göstermek için planlandı. Gereç ve Yöntemler: Bu çalışmaya Düzce Üniversitesi Tıp Fakültesi Araştırma ve Uygulama Hastanesi Çocuk Cerrahisi kliniğinde 01/01/2011-31/12/2020 tarihleri arasında takip edilen invajinasyon hastaları dahil edildi. Bilgiler dosya taraması şeklinde retrospektif olarak elde edildi. Bulgular: Hastalarımızın ortalama yaşı 2,5 yaş idi ve çoğunun ishalin çok görüldüğü yaz aylarında başvurduğu görüldü. Hastaların çoğuna (98 hasta ve % 62,8) USG’de target sign (hedef işareti) bulgusuyla tanı konuldu, 22 tanesi (%14,1) 20mm, 36 hasta ise (%23,1) >20mm ölçümle invajinasyon tanısı aldı. İki yaş altında tanı alan hastaların %50’sinde USG’de hedef işareti bulgusuyla invajinasyon tanısı alırken bu oran≥2 yaş hastalarda 60 hasta (%75) idi ve istatiksel olarak anlamlı bir fark vardı (p=0,04). Bu durum <2 yaş altındaki hastalardaki cerrahi tedavi gerekliliğinin daha fazla olması ile uyumlu bir bulguydu. Sonuç: İki yaş altında USG’de özellikle >20mm ölçümle tanı alan hastaların cerrahi tedavi gerekliliği açışından diğerlerine göre daha yakın gözlemi gerekir. Opere edilmeyen hastaların ise çoğu hedef işareti bulgusuyla USG tanısı aldıkları için bunların gözleminde daha rahat davranılabilir.

Anahtar Kelimeler

• invajinasyon
• USG
• cerrahi
• medikal

Kaynakça

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