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Invaginación intestinal en pacientes pediátricos en el Estado Carabobo

Author(s): María Tomat | Belén Salinas | Mercedes R. de Materan | Rosabel González | Irene Perez-Schael

Journal: Salus Online
ISSN 1316-7138

Volume: 13;
Issue: 2;
Start page: 20;
Date: 2009;
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Keywords: Intussusception | intestinal invagination

Intussusception is a low-frequency pediatric pathology although very important due to its association with the first commercial rotavirus vaccine, which was withdrawn from the market for this reason. Before a possible application of a new vaccine, it was necessary to find out the incidence of intussusception in Carabobo State. Objective: To determine the epidemiology and clinical intussusception in pediatric patients hospitalized in public and private institutions of Carabobo State, Venezuela during 1998-2005. Materials and methods: A retrospective review of the medical records of intussusception patients hospitalized in public and private health centers of Carabobo State between 1998 and 2001, and a prospective one from 2002 - 2005. Results: A total of 159 cases, 89% < 1 year of age, 71% male, 69% from working and marginal social classes (Graffar IV and V). 90% from the Carabobo State, and 10% from other states: 63% Falcon, 25% Cojedes, and 12% Yaracuy. 86% of the children were attended in public health centers (88% in the Children’s Hospital "Dr. JorgeLizarraga“, at the Hospital City Enrique Tejera, “CHET") and 14% in private centers. 95% were eutrophic; lethality was 3%. 90% had blood in stools, 88% vomiting and 57% abdominal pain. The rate of intussusception between 1998 and 2005 was 47 per 100,000 live-born children. Ileo-colic intussusception was the most frequent one (27%), ileocecocolic 20%, ileocecal and ileoileal 9% each. Resolution was: 89% surgical, 8% by barium enema, 1% spontaneous. Viral tests were done in 72 children, and coproculture in 68 with the following results: adenovirus 27%, rotavirus 4%, campylobacter spp 4%, Aeromones spp 4%, Enteropathogenic Echerichia Coli (ECEP) 3%, Shigella spp 4%. Conclusions: Intussusception is the most common cause of acute intestinal obstruction in infants
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