Öztürk H.Ihsan Dokucu A.Otçu S.Önen A.Gedik Ş.2024-04-242024-04-2420011016-5142https://hdl.handle.net/11468/24079Background/Aim: Intussusception is one of the most frequent reasons of intestinal obstruction in newborn and infants. Delay in diagnosis results in severe morbidity and mortality. We aimed to investigate the effects of admission time on morbidity and mortality in children with intussusception. Methods: A total of 123 intussusception cases were diagnosed and treated at our department between June 1983 and March 2000. We reviewed the charts of these cases retrospectively and evaluated the age, sex, the time of hospitalization, symptoms and signs, the type of intussusception, leading point, recurrence, the mode of treatment, postoperative complications, and mortality. According to time of the admission, we grouped the patients into three; G1: admitted before 12 hours after the first sign, G2: admitted between 12 to 24 hours, G3: admitted after 24 hours. The differences between the groups were investigated for postoperative complications and mortality. Results: Seventy six percent of the cases were under the age of 12 months: The most frequent symptom of the cases in admission were vomiting. Eighty per cent of the cases occurred between the months of April and September when epidemic gastroenteritis is very frequent. The most frequently encountered type of intussusception was ileocaeco-colic (77 %). The leading point of the disease were seen only in 7 % of the cases in. Colon enema with barium for hydrostatic reduction was performed in 25 patients and reduction could be successful in 5 (20 %) of them. Sixty-three percent of cases was treated by manual reduction, 30 % by resection and anastomosis, 3 % resection and ostomy. Postoperative complications were observed in 27 % of the patients. The mortality rate of our patients was 6.5 %. The postoperative complication and mortality rate in the group 3 (>24h) was found significantly different in comparison with G1 and G2 (p<0.0001, p<0.0001). Conclusion: The method of non-invasive treatments may be more frequently used in children diagnosed in early period of disease, while the delay in diagnose determine the mode of the treatment as surgery which cause high morbidity and mortality.trinfo:eu-repo/semantics/closedAccessIntestinal ObstructionIntussusceptionArticle15261652-s2.0-0035704461N/A