scholarly journals Experience of Diagnosis and Treatment of Intussusception in Children

2016 ◽  
Vol 23 (3) ◽  
Author(s):  
O. Fofanov ◽  
O. Borys ◽  
R. Nykyforuk ◽  
V. Fofanov ◽  
I. Krasivs'kij
Keyword(s):  
Medical Records ◽  
Intestinal Intussusception ◽  
National Medical ◽  
Doppler Data ◽  
Priority Method ◽  
Small Intestinal ◽  
Recurrent Intussusception ◽  
Ileocecal Intussusception ◽  
Medical University ◽  
Established Treatment

The objective of the research was to establish the causes of complications of intestinal intussusception in children as well as to determine the optimal diagnostic and treatment strategy.Materials and methods. The analysis of medical records and examinations of 100 children with intestinal intussusception at the age of 1 month to 17 years who were treated at the clinic of pediatric surgery of the Ivano-Frankivsk National Medical University was made. Ileocecal intussusception was diagnosed in 77 children; 13 patients had small intestinal intussusception; there were no patients with colonic intussusception; in 10 patients the localization of intussusception was not established. Treatment of intestinal intussusception was performed urgently immediately after the diagnosis. High priority was given to conservative treatment (74 patients); it was effective in 64 (86.5%) patients. The remaining 36 patients underwent surgery, 9 (25%) of them underwent a laparoscopic disinvagination. In 27 cases open surgery – disinvagination – was used.Results and discussion. The typical age (4-12 months) was observed in 50% of patients only, however, 38% of patients were over 1 year of age, and 20% of children were older than 3 years. All children with intestinal intussusception recovered. The complications of intestinal intussusception were observed in 7 patients, most of them were admitted to the clinic 24 hours after the onset of the disease. Re-laparotomy was used in three cases; two patients underwent elective (programmed re-laparotomy) and one patient underwent urgent re-laparotomy due to the presence of signs of peritonitis. Recurrent intussusception was observed in 5 patients; 4 patients developed this condition after conservative disinvagination, one child - after surgery.Conclusions. The complications of intussusception in children are usually associated with untimely diagnosis and treatment.Diagnostic laparoscopy is a highly informative method of diagnosis in the absence of typical symptoms of intussusception being also an effective minimally invasive treatment.When selecting the method of intussusception treatment you should be guided by the duration of rectal bleeding and Doppler data being the most important criteria for determining the degree of the impairment of hemomicrocirculation in the invaginated intestine.Conservative disinvagination is the priority method of treating intussusception.  

scholarly journals Intermittent intestinal intussusception in patients with mesenteric lymphadenitis in the ileocecal angle

2021 ◽  
Vol 25 (3) ◽  
pp. 192-197
Author(s):  
O. V. Karaseva ◽  
D. E. Golikov ◽  
A. Yu. Kharitonova ◽  
A. L. Gorelik ◽  
A. V. Timofeeva ◽  
...  
Keyword(s):  
Correct Diagnosis ◽  
Diagnostic Algorithm ◽  
Recurrent Abdominal Pain ◽  
Lymphoid Hyperplasia ◽  
Differential Diagnostics ◽  
Biopsy Material ◽  
Mesenteric Lymphadenitis ◽  
Intestinal Intussusception ◽  
Recurrent Intussusception ◽  
Ileocecal Intussusception

Introduction. At present, lymphadenopathy – as a cause of idiopathic intestinal intussusception in little children - comes to the fore. However, intestinal intussusception in case of destructive mesenteric lymphadenitis in combination with lymphoid hyperplasia of the ileocecal angle ( what does not exclude lymphoma intraoperatively) is extremely rare in clinical practice.Purpose. To present a therapeutic and diagnostic algorithm in intestinal intussusception which was caused by the “volumetric“ abdominal lymphadenopathy.Case Report. A 3-year-old boy was admitted by the ambulance with recurrent abdominal pain, single episode of vomiting and no stool for 4 days. The ultrasound examination revealed intermittent ileocecal intussusception. The risk factor which had triggered the disease was an acute respiratory viral infection complicated with purulent mesenteric lymphadenitis and lymphoid hyperplasia with ulcerative lesions of the mucous membrane in the ileocecal junction. Laparoscopic desinvagination with lymph node removal and colonoscopy with ladder biopsy were performed. A differential diagnostics of nonspecific lymphadenopathy, Burkitt’s lymphoma and Crohn’s disease was made. Immunohistological examination intraoperatively was made; examination of the biopsy material excluded tumor and inflammatory bowel disease (IBD). The inflammatory process regressed under conservative therapy (antibacterial, anti-inflammatory and antispasmolytic) ; there were no any recurrent intussusception episodes within one-year follow-up.Conclusion. Successive ultrasound, laparoscopic and colonoscopic examinations followed by the immunohistological analysis of intraoperative and biopsy material allowed to put a correct diagnosis and, thereby, to minimize surgical aggression in ileocecal intussusception which was accompanied by volumetric lymphadenopathy.

Small Intestinal Intussusception Secondary to a Submucosal Lipoma

2002 ◽  
Vol 126 (2) ◽  
pp. 231-232
Author(s):  
Yulia Gray ◽  
Jhung W. Jhung ◽  
Bradley A. Shapiro
Keyword(s):  
Intestinal Intussusception ◽  
Small Intestinal

Neurorehabilitation in the Early Recovery Period of Ischemic Stroke. Pharmacology Support

2021 ◽  
Vol 63 (1) ◽  
pp. 22-25
Author(s):  
Denys N. Khramtsov ◽  
Olexandr N. Stoyanov ◽  
Tetiana N. Muratova ◽  
Olexandr R. Pulyk
Keyword(s):  
Ischemic Stroke ◽  
Acute Stroke ◽  
Recovery Period ◽  
Rehabilitation Medicine ◽  
Neuroprotective Agents ◽  
Early Recovery ◽  
National Medical ◽  
Cholinergic Agents ◽  
Early Recovery Period ◽  
Medical University

Aim: The aim of the study was to evaluate the clinical outcome in the use of neuroprotective agents in the acute period of ischemic stroke. Material and Methods: The study was performed on the basis of the stroke of the Center for Reconstructive and Rehabilitation Medicine (University Clinic) of the Odessa National Medical University. A retrospective analysis of clinical outcomes of 115 patients with acute stroke was conducted. Results: An average NIHSS score at discharge was 4.1±0.1 points when treated with no refinery, then it reached 3.6±0.1 points when using peptidergic drugs, and 3.4±0.1 when using D-fdf. 3.1±0.1 points. When using D-FDF, the MMSE score was 3.5±0.1 points, whereas when using cholinergic agents, this index did not exceed 26.9±1.5 points, and when using peptidergic agents - 26.8±1.4 points. Conclusion: The use of neuroprotective agents positively affects the effectiveness of neuro-rehabilitation in patients with acute stroke. The best results in three months after the hospitalization were obtained for peptidergic agents and D-fructose-1,6-diphosphate.

2. Intussusception: Agonal Phenomenon or Cause of Death?

1997 ◽  
Vol 37 (4) ◽  
pp. 355-358 ◽  
Author(s):  
Diana E Cox
Keyword(s):  
Cause Of Death ◽  
Paediatric Population ◽  
Intestinal Intussusception ◽  
Small Intestinal

This paper describes two cases of small intestinal intussusception, one in a child and one in an adult, where the findings at autopsy were atypical. The significance of intussusception in this situation is discussed and the literature related to deaths accompanied by acute small intestinal intussusception in the adult and paediatric population is reviewed. It is concluded that the findings represent a true pathological entity and not an ‘agonal’ event.

scholarly journals The human sacrum shape: metamorphoses and relation of its parts

2018 ◽  
Vol 22 (1) ◽  
pp. 14-18
Author(s):  
V.G. Cherkasov ◽  
O.V. Malikov
Keyword(s):  
Human Body ◽  
Sacroiliac Joint ◽  
Vertebral Column ◽  
Human Life ◽  
Anatomical Study ◽  
External Factors ◽  
Multiple Factors ◽  
National Medical ◽  
University Department ◽  
Medical University

The human sacrum shape and its metamorphoses should be considered due to their effect, primarily mechanical, predisposing for the vertebral column function evolution. The aim of the study is to define the human sacrum shapes and explain for such variability. The object of the study is represented with 68 sacrums obtained from the review collection of anatomical study preparations of the Bogomolets National Medical University Department of Anatomy. Each of the known human sacrum shapes represents the stage of the process of “sinking” of the sacral vertebrae bodies into the sacrum, with simultaneous fixation of external apices of their lateral parts in the sacroiliac joint. Generally, metamorphoses of the sacrum shape make up an accommodation for the new mechanical conditions as well as causal external factors. The sacrum continuously sustains multiple factors’ effects in each moment of the human life, which affects its shape and metamorphoses. The analysis of the human sacrum shape and functions reveals important instances: first, certain parts of the sacrum don’t preserve permanent relations; secondly, alterations in these relations keep to a certain sequence. This issue permits us to consider various sacrum shapes as sequential stages of the same process, occurring in the human body.

scholarly journals System of Educational Process Organization at the Department of Endocrinology and the Department of Internal Medicine No 1, Immunopathology and Allergology named after academician Neiko Ye.M. of Ivano-Frankivsk National Medical University

2018 ◽  
Vol 25 (1) ◽  
Author(s):  
Oksana Didushko ◽  
Petro Herych ◽  
Iryna Cherniavska
Keyword(s):  
Internal Medicine ◽  
Medical School ◽  
Educational Process ◽  
National Medical ◽  
The Subject ◽  
Medical University ◽  
Long Term Experience ◽  
Module System

The The article highlights the system of educational process organization during module 1 of the subject “Internal Medicine” at the Department of Endocrinology and the Department of Internal Medicine No 1, Immunopathology and Allergology named after academician Neiko Ye.M. of Ivano-Frankivsk National Medical University. The possibilities of combining long-term experience and the traditions of national medical school with the principles of the credit-module system are described.

scholarly journals ANNUAL YOUNG MEDICAL SCIENTISTS` CONFERENCE 2020

2020 ◽  
Vol 120 (4) ◽  
pp. 1-3
Author(s):  
Anastasiia Hrynzovska
Keyword(s):  
National Medical ◽  
Multidisciplinary Conference ◽  
The University ◽  
Medical University

Annually in the fall at the National Medical University named after A.A. Bogomolets is hosting the Annual Young Medical Scientist's Conference (AYMSConf). This is a multidisciplinary conference targeting young scientists who are striving to show their potential. The organizers are the A.A. Kisel with the support of the departments of the university and administration of the NMU A.A. Bogomolets.

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