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Summarize the treatment and management options available for intussusception in adults. Describe interprofessional team strategies for improving care coordination and communication to improve outcomes for adults suffering from intussusception.
Intussusception requires emergency care — but it’s treatable if you get help fast. How common is intussusception? Anyone can develop intussusception, including adults, but it’s most common among children between 3 months and 3 years old. Only 1% of adult bowel obstructions are related to intussusception.
Treatment. Treatment of intussusception typically happens as a medical emergency. Emergency medical care is required to avoid severe dehydration and shock, as well as prevent infection that can occur when a portion of intestine dies due to lack of blood.
Surgery is the definitive treatment of adult intussusceptions. Formal bowel resection with oncological principles is followed for every case where a malignancy is suspected.
Intussusception in adults is a challenging diagnosis that requires high clinical suspicion. The challenges occur because abdominal pain is not only one of the most common complaints evaluated in the emergency department but generally a nonspecific complaint.
In adults, due to the risk of intestinal ischemia and possible malignancy of the lead point of invagination, the treatment of intussusception is always surgical . The surgical procedure depends upon the location of intussusceptions and viability of the intestine at the time of laparotomy.