Small bowel intussusception - aetiology & management.
Curr Opin Gastroenterol
; 40(3): 175-182, 2024 05 01.
Article
en En
| MEDLINE
| ID: mdl-38190421
ABSTRACT
PURPOSE OF REVIEW Adult small bowel intussusception (SBI) differs in incidence, symptomatology and management from the more commonly encountered paediatric intussusception. This review spans across the multitude of causes of adult SBI, and summarises the diagnostic work-up and management options according to recent literature. RECENT FINDINGS:
There has been an increase in use of small bowel capsule endoscopy and point-of-care ultrasound for the diagnosis of acute adult SBI.SUMMARY:
A high degree of suspicion of a malignant cause of SBI is required in the adult population. Alarm clinical features include weight loss, history of malignancy, and iron deficiency anaemia. CT remains the gold standard imaging technique as it may identify the lead point and thus aid in endoscopic or surgical management. If malignancy is excluded and no lead point is identified, serology and histology may be helpful to look for inflammatory, infective and autoimmune aetiology.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Endoscopía Capsular
/
Intususcepción
/
Neoplasias
Tipo de estudio:
Prognostic_studies
Límite:
Adult
/
Child
/
Humans
Idioma:
En
Revista:
Curr Opin Gastroenterol
/
Curr. opin. gastroenterol
/
Current opinion in gastroenterology
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Malta