Ileo-Ileal Intussusception with Mild Symptoms and Small Affected Bowel Segment (2–3 cm)
Clinical Scenario
This protocol applies to ileo-ileal intussusception — involving invagination of two small bowel segments — presenting with mild symptoms and a small affected bowel area of 2–3 cm.
Key Considerations
Ileo-ileal intussusception involving invagination of two small bowel segments may present with mild symptoms. This type is more likely to resolve spontaneously and rarely requires enema reduction, as ischaemia is rare. When the affected area is small (2–3 cm), this generally represents a manifestation of viral illness that usually self-resolves.
Management Approach
Where intervention is indicated, a non-operative reduction approach — performed in consultation with a surgical team — may be evaluated. Peri-procedural analgesia is a component of management. The full protocol outlines the specific criteria, conditions for intervention, and complete management steps.
References
- Ileo-ileal intussusception, involving invagination of two small bowel segments, may present with mild symptoms. This type of intussusception is more likely to resolve spontaneously and rarely requires enema reduction, as ischaemia is rare. This is generally the manifestation of viral illness and usually self resolves if the affected area is small (2-3cm)
- The enema may be used diagnostically and therapeutically in consultation with a surgical team.
- Appropriate peri-procedural analgesia is necessary, is usually intranasal fentanyl or IV morphine, see Acute pain management
- Procedural sedation by an experienced clinician should be strongly considered, as this may improve the success rate of non-operative reduction, both hydrostatic and pneumatic enema
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