| Journal: | Annals of hepatology |
| Database: | PERIÓDICA |
| System number: | 000416311 |
| ISSN: | 1665-2681 |
| Authors: | Pischke, Sven1 Karsten, Wursthorn1 Hadem, Johannes1 Schmidt, Sebastian1 Heiringhoff Heinz, Karl2 Helfritz, Fabian2 Strassburg, Christian P1 Lobers, Joachim1 Zender, Lars1 Tutarel, Oktay3 Wedemeyer, Jochen2 Manns, Michael P1 Wedemeyer, Heiner1 Rifai, Kinan1 Gebel, Michael1 |
| Institutions: | 1Hannover Medical School, Gastroenterology, Hepatology and Endocrinology, Hannover, Niedersachsen. Alemania 2Hannover Medical School, Surgery, Hannover, Niedersachsen. Alemania 3Hannover Medical School, Cardiology, Hannover, Niedersachsen. Alemania |
| Year: | 2011 |
| Season: | Ene-Mar |
| Volumen: | 10 |
| Number: | 1 |
| Pages: | 38-42 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | Intestinal intussusception in adults is associated with chronic inflammatory bowel disease, coeliac disease, abdominal tumors or previous abdominal surgery but most often of unknown origin. Aim. The aim of our study was to evaluate circumstances and identify risk factors for intussusceptions. Methods. All 65,928 abdominal ultrasound examinations performed at our tertiary medical center between January 2001 and June 2008 were analyzed retrospectively for the diagnosis “intussusception”. After identifying individuals with sonographically proven intussusception we analyzed various patients’ characteristics including age, gender and underlying disease as well as sonographic findings such as localization of the intussusception, absence or presence of ascites and lymph nodes. Results. We identified 32 cases of intussusceptions [mean age 45 years (range 18 to 88); 18 patients were male]. Twelve patients (38%) had a history of abdominal surgery including 8 patients who had undergone liver transplantation (2 patients with primary sclerosing cholangitis, 1 patient with cystic fibrosis, 1 patient with sarcoidosis, 1 patient with hepatocellular carcinoma and HCV infection, 1 patient with autoimmune hepatitis, 1 patient with Crigler-Najar-syndrome and one patient with echinococcus). A hepaticojejunostomy had been performed in 4 of the patients after liver transplantation. Liver transplanted patients were significantly overrepresented in the intussusception group compared with the overall cohort of patients undergoing abdominal ultrasound examination (25% vs. 8%, Chi-Square-test, p = 0.0023). Conclusion. In our retrospective study liver transplantation, in particular with hepaticojejunostomy, was identified as a new major risk factor for intestinal intussusceptions |
| Disciplines: | Medicina |
| Keyword: | Gastroenterología, Cirugía, Trasplante de hígado, Yeyunostomía, Factores de riesgo, Intususcepción intestinal |
| Keyword: | Gastroenterology, Surgery, Liver transplantation, Jejunostomy, Risk factors, Intestinal intussusception |
| Full text: | Texto completo (Ver PDF) |
