Intussusception causes: Difference between revisions

	Intussusception Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Intussusception from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Intussusception On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Intussusception All Images X-rays Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Intussusception
CDC on Intussusception
Intussusception in the news
Blogs on Intussusception
Directions to Hospitals Treating Intussusception
Risk calculators and risk factors for Intussusception

VisualWikitext

Latest revision as of 04:21, 8 January 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]

Overview

Common causes of intussusception in children can be divided into idiopathic and pathologic. Idiopathic causes include seasonal viral gastroenteritis, rotavirus vaccine, adenovirus infection, and bacterial enteritis. Pathologic causes of intussusception in children include Henoch-Schonlein purpura, cystic fibrosis, Celiac disease, Crohn's disease, Meckel's diverticulum, polyps, duplication cysts, and lymphoma. Intussusception in adults is mostly due to a pathologic lead point. Non-idiopathic intestinal causes for intussusception in adults can further be divided into benign and malignant enteric causes, and benign and malignant colonic causes.

Causes

Causes in children
- Idiopathic:
  - Seasonal viral gastroenteritis^[1]
  - Rotavirus vaccine ^[2]
  - Adenovirus ^[3]
  - Bacterial enteritis
- Pathologic
  - Henoch-Schönlein purpura ^[4]
  - Cystic fibrosis
  - Celiac disease
  - Crohn's disease ^[5] ^[6]
  - Meckel's diverticulum
  - Polyps
  - Duplication cysts
  - Lymphoma

Children

Idiopathic- no lead point

Pathologic- Lead point

Causes of nonidiopathic adult intestinal intussusception*
Enteric (benign)	Enteric (malignant)	Colonic (benign)	Colonic (malignant)
Adhesions Adenoma Celiac disease Crohn's disease Endometriosis Malignant stromal (GIST) tumor Hamartoma Hemangioma Inflammatory polyp Kaposi's sarcoma Lipoma Meckel's diverticulum Neurofibroma Peutz–Jegher polyp Tuberculosis Submucosal hemorrhages from unregulated anticoagulation	Adenocarcinoma Carcinoid tumor Leiomyosarcoma Lymphoma Metastatic carcinoma (melanoma most common) Malignant GIST Neuroendocrine tumor	Adenoma Inflammatory pseudopolyp Lipoma	Adenocarcinoma Lymphoma Sarcoma

*Adopted from Clinics in Colon and Rectal Surgery 2017^[7]

References

↑ Buettcher M, Baer G, Bonhoeffer J, Schaad UB, Heininger U (2007). "Three-year surveillance of intussusception in children in Switzerland". Pediatrics. 120 (3): 473–80. doi:10.1542/peds.2007-0035. PMID 17766518.
↑ Shimabukuro TT, Nguyen M, Martin D, DeStefano F (2015). "Safety monitoring in the Vaccine Adverse Event Reporting System (VAERS)". Vaccine. 33 (36): 4398–405. doi:10.1016/j.vaccine.2015.07.035. PMC 4632204. PMID 26209838.
↑ Bines JE, Liem NT, Justice FA, Son TN, Kirkwood CD, de Campo M, Barnett P, Bishop RF, Robins-Browne R, Carlin JB (2006). "Risk factors for intussusception in infants in Vietnam and Australia: adenovirus implicated, but not rotavirus". J. Pediatr. 149 (4): 452–60. doi:10.1016/j.jpeds.2006.04.010. PMID 17011313.
↑ Ebert EC (2008). "Gastrointestinal manifestations of Henoch-Schonlein Purpura". Dig. Dis. Sci. 53 (8): 2011–9. doi:10.1007/s10620-007-0147-0. PMID 18351468.
↑ Cohen DM, Conard FU, Treem WR, Hyams JS (1992). "Jejunojejunal intussusception in Crohn's disease". J. Pediatr. Gastroenterol. Nutr. 14 (1): 101–3. PMID 1573498.
↑ López-Tomassetti Fernández EM, Lorenzo Rocha N, Arteaga González I, Carrillo Pallarés A (2006). "Ileoileal intussusception as initial manifestation of Crohn's disease". Mcgill J Med. 9 (1): 34–7. PMC 2687895. PMID 19529808.
↑ "Thieme E-Journals - Clinics in Colon and Rectal Surgery / Abstract".

Template:WS Template:WH

[pmid17766518-1] Buettcher M, Baer G, Bonhoeffer J, Schaad UB, Heininger U (2007). "Three-year surveillance of intussusception in children in Switzerland". Pediatrics. 120 (3): 473–80. doi:10.1542/peds.2007-0035. PMID 17766518.

[pmid26209838-2] Shimabukuro TT, Nguyen M, Martin D, DeStefano F (2015). "Safety monitoring in the Vaccine Adverse Event Reporting System (VAERS)". Vaccine. 33 (36): 4398–405. doi:10.1016/j.vaccine.2015.07.035. PMC 4632204. PMID 26209838.

[pmid17011313-3] Bines JE, Liem NT, Justice FA, Son TN, Kirkwood CD, de Campo M, Barnett P, Bishop RF, Robins-Browne R, Carlin JB (2006). "Risk factors for intussusception in infants in Vietnam and Australia: adenovirus implicated, but not rotavirus". J. Pediatr. 149 (4): 452–60. doi:10.1016/j.jpeds.2006.04.010. PMID 17011313.

[pmid18351468-4] Ebert EC (2008). "Gastrointestinal manifestations of Henoch-Schonlein Purpura". Dig. Dis. Sci. 53 (8): 2011–9. doi:10.1007/s10620-007-0147-0. PMID 18351468.

[pmid1573498-5] Cohen DM, Conard FU, Treem WR, Hyams JS (1992). "Jejunojejunal intussusception in Crohn's disease". J. Pediatr. Gastroenterol. Nutr. 14 (1): 101–3. PMID 1573498.

[pmid19529808-6] López-Tomassetti Fernández EM, Lorenzo Rocha N, Arteaga González I, Carrillo Pallarés A (2006). "Ileoileal intussusception as initial manifestation of Crohn's disease". Mcgill J Med. 9 (1): 34–7. PMC 2687895. PMID 19529808.

[urlThieme_E-Journals_-_Clinics_in_Colon_and_Rectal_Surgery_/_Abstract-7] "Thieme E-Journals - Clinics in Colon and Rectal Surgery / Abstract".

[1]

[2]

[3]

[4]

[5]

[6]

[7]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Intussusception}}
-{{CMG}}
+{{CMG}}; {{AE}} {{SSW}}
 ==Overview==
+Common causes of intussusception in children can be divided into idiopathic and pathologic. Idiopathic causes include seasonal [[viral gastroenteritis]], [[Rotavirus vaccine (patient information)|rotavirus vaccine]], [[adenovirus infection]], and [[bacterial enteritis]]. Pathologic causes of intussusception in children include [[Henoch-Schönlein purpura|Henoch-Schonlein purpura]], [[cystic fibrosis]], [[Celiac disease]], [[Crohn's disease]], [[Meckel's diverticulum]], [[Polyp|polyps]], duplication cysts, and [[lymphoma]]. Intussusception in adults is mostly due to a pathologic lead point. Non-idiopathic intestinal causes for intussusception in adults can further be divided into [[benign]] and [[malignant]] [[enteric]] causes, and [[benign]] and [[malignant]] [[Colon|colonic]] causes.
 ==Causes==
+* Causes in children
+** Idiopathic:
+*** Seasonal [[viral gastroenteritis]]<ref name="pmid17766518">{{cite journal |vauthors=Buettcher M, Baer G, Bonhoeffer J, Schaad UB, Heininger U |title=Three-year surveillance of intussusception in children in Switzerland |journal=Pediatrics |volume=120 |issue=3 |pages=473–80 |year=2007 |pmid=17766518 |doi=10.1542/peds.2007-0035 |url=}}</ref>
+*** [[Rotavirus vaccine (patient information)|Rotavirus vaccine]] <ref name="pmid26209838">{{cite journal |vauthors=Shimabukuro TT, Nguyen M, Martin D, DeStefano F |title=Safety monitoring in the Vaccine Adverse Event Reporting System (VAERS) |journal=Vaccine |volume=33 |issue=36 |pages=4398–405 |year=2015 |pmid=26209838 |pmc=4632204 |doi=10.1016/j.vaccine.2015.07.035 |url=}}</ref>
+*** [[Adenovirus infection|Adenovirus]] <ref name="pmid17011313">{{cite journal |vauthors=Bines JE, Liem NT, Justice FA, Son TN, Kirkwood CD, de Campo M, Barnett P, Bishop RF, Robins-Browne R, Carlin JB |title=Risk factors for intussusception in infants in Vietnam and Australia: adenovirus implicated, but not rotavirus |journal=J. Pediatr. |volume=149 |issue=4 |pages=452–60 |year=2006 |pmid=17011313 |doi=10.1016/j.jpeds.2006.04.010 |url=}}</ref>
+*** [[Bacterial]] enteritis
+** Pathologic
+*** [[Henoch-Schönlein purpura]] <ref name="pmid18351468">{{cite journal |vauthors=Ebert EC |title=Gastrointestinal manifestations of Henoch-Schonlein Purpura |journal=Dig. Dis. Sci. |volume=53 |issue=8 |pages=2011–9 |year=2008 |pmid=18351468 |doi=10.1007/s10620-007-0147-0 |url=}}</ref>
+*** [[Cystic fibrosis]]
+*** [[Celiac disease]]
+*** [[Crohn's disease]] <ref name="pmid1573498">{{cite journal |vauthors=Cohen DM, Conard FU, Treem WR, Hyams JS |title=Jejunojejunal intussusception in Crohn's disease |journal=J. Pediatr. Gastroenterol. Nutr. |volume=14 |issue=1 |pages=101–3 |year=1992 |pmid=1573498 |doi= |url=}}</ref> <ref name="pmid19529808">{{cite journal |vauthors=López-Tomassetti Fernández EM, Lorenzo Rocha N, Arteaga González I, Carrillo Pallarés A |title=Ileoileal intussusception as initial manifestation of Crohn's disease |journal=Mcgill J Med |volume=9 |issue=1 |pages=34–7 |year=2006 |pmid=19529808 |pmc=2687895 |doi= |url=}}</ref>
+*** [[Meckel's diverticulum]]
+*** [[Polyp|Polyps]]
+*** Duplication cysts
+*** [[Lymphoma]]
 <br>
+{{Family tree/start}}
+{{Family tree | | | | | | | | | | | | | | | | B01 | | | |B01= Children}}
+{{Family tree | | | | | | | | | | | | | |,|-|-|^|-|-|.| | }}
+{{Family tree | | | | | | | | | | | | | C01 | | | | C02 |C01= Idiopathic- no lead point| C02= Pathologic- Lead point}}
+{{Family tree/end}}
 {| class="wikitable sortable"
-! colspan="4" |<big>Causes of nonidiopathic adult intestinal intussusception</big>
+! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" + |<big>Causes of nonidiopathic adult intestinal intussusception*</big>
 |-
-!Enteric (benign)
+! align="center" style="background:#4479BA; color: #FFFFFF;" + |Enteric (benign)
-!Enteric (malignant)
+! align="center" style="background:#4479BA; color: #FFFFFF;" + |Enteric (malignant)
-!'''Colonic (benign)'''
+! align="center" style="background:#4479BA; color: #FFFFFF;" + |'''Colonic (benign)'''
-!'''Colonic (malignant)'''
+! align="center" style="background:#4479BA; color: #FFFFFF;" + |'''Colonic (malignant)'''
 |-
-|Adhesions
+|
+* Adhesions
-Adenoma
+* [[Adenoma]]
+* [[Celiac disease]]
-Celiac disease
+* [[Crohn's disease]]
+* [[Endometriosis]]
-Crohn disease
+* Malignant stromal ([[Gastrointestinal stromal tumor|GIST]]) tumor
+* [[Hamartoma]]
-Endometriosis
+* [[Hemangioma]]
+* Inflammatory polyp
-Malignant stromal (GIST) tumor
+* [[Kaposi's sarcoma]]
+* [[Lipoma]]
-Hamartoma
+* [[Meckel's diverticulum]]
+* [[Neurofibroma]]
-Hemangioma
+* [[Peutz–Jeghers syndrome|Peutz–Jegher polyp]]
+* [[Tuberculosis]]
-Inflammatory polyp
+* [[Submucosal]] [[hemorrhages]] from unregulated [[anticoagulation]]
+|
-Kaposi sarcoma
+* [[Adenocarcinoma]]
+* [[Carcinoid tumor]]
-Lipoma
+* [[Leiomyosarcoma]]
+* [[Lymphoma]]
-Meckel diverticulum
+* [[Metastatic carcinomas|Metastatic carcinoma]] ([[melanoma]] most common)
+* [[Malignant]] [[Gastrointestinal stromal tumor|GIST]]
-Neurofibroma
+* [[Neuroendocrine tumors|Neuroendocrine tumor]]
+|
-Peutz–Jegher polyp
+* [[Adenoma]]
+* Inflammatory pseudopolyp
-Tuberculosis
+* [[Lipoma]]
+|
-Submucosal hemorrhages from unregulated anticoagulation
+* [[Adenocarcinoma]]
-|Adenocarcinoma
+* [[Lymphoma]]
-Carcinoid tumor
+* [[Sarcoma]]
-Leiomyosarcoma
-Lymphoma
-Metastatic carcinoma (melanoma most common)
-Malignant GIST
-Neuroendocrine tumor
-| Adenoma
- Inflammatory pseudopolyp
- Lipoma
-|Adenocarcinoma
-Lymphoma
-Sarcoma
 |}
+<nowiki>*</nowiki>Adopted from Clinics in Colon and Rectal Surgery 2017<ref name="urlThieme E-Journals - Clinics in Colon and Rectal Surgery / Abstract">{{cite web |url=http://dx.doi.org/+10.1055/s-0036-1593429 |title=Thieme E-Journals - Clinics in Colon and Rectal Surgery / Abstract |format= |work= |accessdate=}}</ref>
 ==References==

Intussusception causes: Difference between revisions

Latest revision as of 04:21, 8 January 2018

Overview

Causes

References

Navigation menu