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DC Field | Value | Language |
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dc.contributor.author | Kuremu, RT | - |
dc.date.accessioned | 2024-06-03T07:01:36Z | - |
dc.date.available | 2024-06-03T07:01:36Z | - |
dc.date.issued | 2004-09-09 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/9183 | - |
dc.description.abstract | Objective: To review the management of childhood intussusception at the Moi Teaching and Referral Hospital, Eldoret and identify factors that require attention for improved outcome. Design: A retrospective descriptive study covering the period January 2000 to December 2003. Setting: Moi Teaching and Referral Hospital, Eldoret. Patients: Thirty six children Results: Of the 36 children, 28 (78%) were males and eight (22%) females giving a ratio of 3.5:1. Median age was six months with a range of 2-72 months. The duration of symptoms was a mean of 5 days with a range of 1-14 days. Sixty one percent were referrals. Initial diagnosis of intussusception based on signs and symptoms was made in 6 out of 36 (17%) patients. The rest were initially treated for other problems. Decision to refer to surgeons, was based on abdominal distension. Plain x-ray was done in four patients and barium enema in one patient. Seventy five percent of the patients required fluid resuscitation before operation. All patients (100%) were managed operatively. Seventy two percent had ileo-colic intussusception, 8% ile-oileal and 22% colo-colic. Perforation was found in 22% and gangrene in 31%. Sixty seven percent were successfully reduced by "milking" while 33% required resection and anastomosis/or stoma creation. Complications included: anastomatic breakdown, bronchopneumonial renal failure, sepsis, recurrent intussusception and death. Mortality was 14% overall.Conclusion: Early diagnosis and presentation coupled with improved peri-operative management are essential in improving outcome. | en_US |
dc.language.iso | en | en_US |
dc.publisher | AJOL | en_US |
dc.subject | Childhood intussusception | en_US |
dc.subject | Plain x-ray | en_US |
dc.subject | Barium enema | en_US |
dc.title | Childhood intussusception at the Moi teaching and referral hospital Eldoret: management challenges in a rural setting | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
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kuremu 2.pdf | 312.37 kB | Adobe PDF | View/Open |
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