Panzera F, Di Venere B, Rizzi M, Biscaglia A, Praticò CA, Nasti G, Mardighian A, Nunes TF, Inchingolo R. Bowel intussusception in adult: Prevalence, diagnostic tools and therapy. World J Methodol 2021; 11(3): 81-87 [PMID: 34026581 DOI: 10.5662/wjm.v11.i3.81]
Corresponding Author of This Article
Riccardo Inchingolo, MD, Chief Doctor, Director, Interventional Radiology Unit, "F. Miulli" General Regional Hospital, Via di Santeramo, Acquaviva delle Fonti 70021, Bari, Italy. riccardoin@hotmail.it
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Methodol. May 20, 2021; 11(3): 81-87 Published online May 20, 2021. doi: 10.5662/wjm.v11.i3.81
Bowel intussusception in adult: Prevalence, diagnostic tools and therapy
Francesco Panzera, Beatrice Di Venere, Marina Rizzi, Assunta Biscaglia, Carlos Alberto Praticò, Gennaro Nasti, Andrea Mardighian, Thiago Franchi Nunes, Riccardo Inchingolo
Francesco Panzera, Marina Rizzi, Department of Endoscopy, "Madonna delle Grazie" Hospital, Matera 75100, Italy
Beatrice Di Venere, Gennaro Nasti, Department of Surgery, "Madonna delle Grazie" Hospital, Matera 75100, Italy
Assunta Biscaglia, Department of Radiology, "Madonna delle Grazie" Hospital, Matera 75100, Italy
Carlos Alberto Praticò, Digestive Endoscopy Unit, Hopital Prive Armand Brillard, Nogent-sur-Marne 94130, France
Andrea Mardighian, Riccardo Inchingolo, Interventional Radiology Unit, "F. Miulli" General Regional Hospital, Acquaviva delle Fonti 70021, Bari, Italy
Thiago Franchi Nunes, Department of Radiology, Santa Casa de Campo Grande, Campo Grande 79010-050, Brazil
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: All the authors are aware of the content of the manuscript and have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Riccardo Inchingolo, MD, Chief Doctor, Director, Interventional Radiology Unit, "F. Miulli" General Regional Hospital, Via di Santeramo, Acquaviva delle Fonti 70021, Bari, Italy. riccardoin@hotmail.it
Received: January 18, 2021 Peer-review started: January 18, 2021 First decision: February 14, 2021 Revised: February 15, 2021 Accepted: March 18, 2021 Article in press: March 18, 2021 Published online: May 20, 2021 Processing time: 113 Days and 21.3 Hours
Abstract
Intussusception is defined as invagination of one segment of the bowel into an immediately adjacent segment. The intussusception refers to the proximal segment that invaginates into the distal segment, or the intussusception (recipient segment). Intussusception, more common occur in the small bowel and rarely involve only the large bowel. In direct contrast to pediatric etiologies, adult intussusception is associated with an identifiable cause in almost all the symptomatic cases while the idiopathic causes are extremely rare. As there are many common causes of acute abdomen, intussusception should be considered when more frequent etiologies have been ruled out. In this review, we discuss the symptoms, location, etiology, characteristics, diagnostic methods and treatment strategies of this rare and enigmatic clinical entity in adult.
Core Tip: Intussusception in adult is rare, but its onset is often tumor-related. The diagnosis of intussusception in adult is challenging as a result of the nonspecific signs and symptoms. We herein discuss the epidemiology and the clinical features of bowel intussusception in adult and the role of radiology and surgery in the management of this insidious condition.
