Læknablaðið - 15.02.2013, Blaðsíða 21

RANNSÓKN
og skurðlækna til að meðhöndla garnasmokkun. Því ætti þessi
rannsókn að ná til allra tilfella garnasmokkunar sem hafa komið
upp hér á landi á umræddu tímabili. Veikleiki rannsóknarinnar
er að hún er afturskyggn. Rannsóknin er því háð þeirri skráningu
sem framkvæmd var í sjúkraskrá á hverjum tíma og er ekki um að
ræða staðlaða skráningu.
Þakkarorð
Við þökkum Sigríði Pálu Konráðsdóttur ritara fyrir góða aðstoð.
Kristján Þór Magnússon faraldsfræðingur fær bestu þakkir fyrir
kennslu og góð ráð og Sigrún Helga Lund fyrir hjálp við tölfræði-
úrvinnslu.
Heimildir
1. Waseem M, Rosenberg HK. Intussusceptíon. Pediatr
Emerg Care 2008; 240: 793-800.
2. Stringer MD, Pablot SM, Brereton RJ. Paediatric intussus-
ception. Br J Surg 1992; 79:867-76.
3. Huppertz HI, Soriano-Gabarro M, Grimprel E, Franco E,
Mezner Z, Desselberger U, et al. Intussusception among
young children in Europe. Pediatr Infect Dis J 2006; 25 (1
Suppl): S22-29.
4. Buettcher M, Baer G, Bonhoeffer J, Schaad UB, Heininger
U. Three-year surveillance of intussusception in children
in Switzerland. Pediatrics 2007; 120:473-80.
5. Bines JE IB. Acute Intussusception in Infants and
Children: A Global Perspectíve. Vaccines and Biologicals.
World Health Organization Department of Vaccines and
Biologicals 2002.
6. Cera SM. Intestínal intussusception. Clin Colon Rectal
Surg 2008; 21:106-13.
7. Le Masne A, Lortat-Jacob S, Sayegh N, Sannier N, Brunelle
F, Cheron G. Intussusceptíon in infants and children:
feasibility of ambulatory management. Eur J Pediatr 1999;
158: 707-10.
8. del-Pozo G, Albillos JC, Tejedor D, Calero R, Rasero M, de-
la-Calle U, et al. Intussusceptíon in children: current con-
cepts in diagnosis and enema reductíon. Radiographics
1999; 19: 299-319.
9. Tate JE, Simonsen L, Viboud C, Steiner C, Patel MM,
Cums AT, et al. Trends in intussusception hospitalizations
among US infants, 1993-2004: implications for monitoring
the safety of the new rotavirus vaccination program.
Pediatrics 2008; 121: ell25-1132.
10. Blanch AJ, Perel SB, Acworth JP. Paediatric intussuscep-
tion: epidemiology and outcome. Emerg Med Australas
2007; 19:45-50.
11. Sorantin E, Lindbichler F. Management of intussusception.
Eur Radiol 2004; 14 Suppl 4: L146-154.
12. Cochran AA, Higgins GL 3rd, Strout TD. Intussusception
in traditional pediatric, nontraditíonal pediatric, and adult
patients. Am J Emerg Med 2010; 29: 523-7.
ENGLISH SUMMARY
Intussusception in children in lceland
Pétursdóttir K, Rósmundsson Th, Hannesson PH, Möller PH
Introduction: Intussusception occurs when a proximal portion of the
bowel invaginates into the distal bowel. It is the most common cause of
intestinal obstruction in children between 3 months and 3 years. This
study aimed to assess patient profile, clinical presentation, diagnostic
methods, treatment and outcome in children diagnosed with intussus-
ception in lceland.
Material and methods: We conducted a retrospective chart review of
all children diagnosed with intussusception in lceland during a 25 year
period (1986-2010). Patients were identified from a medical record data-
base in lceland’s two main hospitals, Landspítali and Akureyri Hospital.
Results: A total of 67 children aged 3 months to 11 years (median age
8 months) were diagnosed with intussusception. Male to female ratio
Key words: Intussusception, children, etiology, symptoms, treatment.
Correspondence: Páll Helgi Möller, pallm@landspitali.is
University of lceland and Landspítali The National University Hospital of lceland
was 3:2. The mean incidence of intussusception was 0.4 cases per 1000
children <1 year old. Intussusception was idiopathic in 70% of patients
and occurred in the ileocolic region in 94%. Barium contrast enema was
the most common diagnostic test. Barium enema reduction was attemp-
ted in 82% of patients and successful reduction rate was 62%. Surgical
treatment was required in 49% of patients and involved resection of
bowel in 9%. Three children had recurrent intussusception.
Conclusion: The results of treatment for intussusception in lceland
are good. The decline of enemas performed and the rise in surgical
treatment observed over the study period is a reason for concern. In this
regard there is room for improvement.
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