Resumen

ABATE, Héctor; STRUGO, Liliana  y  FALASCHI, Andrea. Aspectos clínicos y epidemiológicos de la invaginación intestinal en niños menores de 2 años, de la provincia de Mendoza, Argentina. Arch. argent. pediatr. [online]. 2006, vol.104, n.6, pp.496-500. ISSN 0325-0075.

Introduction. Intussusception is a severe disease, in most cases idiopathic. It is the main cause of intestinal obstruction among children younger than 1 year old. The objective is to describe clinical and epidemiological intussusception features, and to calculate its annual incidence in children younger than 1 and 2 years old. Population, material and method. Descriptive observational study. Medical charts in children younger than 2 years old, hospitalized for intussusception, from 01/01/2003 to 31/12/2005 were analyzed. Age, sex, month of diagnosis, previous illness, clinicals manifestation, location, treatment, complications and hospitalization time were evaluated. Annual incidence rate was calculated by age and year. Results. Seventy seven subjects were enrolled, age range 1-22 months, median 6 months; 88% were younger than 1 year old. Most cases appeared between October-March (68%). Twenty nine presented previous illnesses (respiratory 69%, diarrhea 17%). Frequent abdominal manifestations: vomiting 87%, abdominal pain 79%, bloody stools 67%. More frequent locations: ileo-ceco-appendix-colic 28 (36%). Surgical treatment was performed in 72 patients (93.5%). The incidence rate, in children younger than 1 year old, was 0.77, 0.82 and 0.67/1,000, and in children younger than 2 years old it was of 0.44, 0.51 and 0.39/1,000 in 2003, 2004 y 2005, respectively. Conclusions. The highest incidence rate appeared in children younger than 1 year old, presenting vomiting, abdominal pain and blood in stools or rectal examination. The most frequent location was ileo-ceco-appendix-colic. Almost all were solved by surgical intervention having a good evolution.

Palabras clave : Intestinal intussusception; Epidemiology; Mendoza.

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