What is the treatment for Intussusception? - Dr. Nagaraj B. Puttaswamy

Intussusception is the intestine getting onto the distal part of the adjacent intestine. It becomes difficult to understand why this happens and whether to treat it surgically or conservatively. But 99% of all the patients suffering from intussusception land up into a surgical management. very rarely a patient with a colocolic intussusception, we may reduce the intussusception with possible enema in a head low position and try to reduce the intussusception but most of the times we try to handle these patients surgically only because the patient will have severe pain abdomen, vomiting because the food will not be able to pass from the proximal part of the intestine to the distal part of the intestine. Because the intestine to intestine intussusception has caused an obstruction in the lumen. The patient welcome with a severe pain abdomen and the features are very typical of intestinal obstruction. We can identify with xray abdomen which shows free fluid levels of the small intestine and ultrasound will tell to locate the t intussusception and we can second that with a CT scan to confirm at what position the intussusception, has happened. We usually do the diagnostic laparoscopy sand locate the position of the intussusception. We will try to reduce and try to pull the intestines apart and try to find out why the proximal part of the intestine has gone into the distal part. If we identify a lesion underneath, it is ideal that we respect that part of the intestine that is intussuscepted and we reanastamose it, that is we cut it and then rejoin this. Once that’s done, we can be assured that everything will be fin and then send the resected part or cut off part for histopathiological examination and identify what the cause would be.