Open AccessTacka vodilja kao los prognosticki faktor u terapiji invaginacija kod dece
Author(s) -
Ivanka Djordjević,
Radovan Milićević,
N. Djordjević,
Aleksandar Karanikolić,
Nebojša Ignjatović
Publication year - 2007
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci0702013d
Subject(s) - invagination , medicine , intussusception (medical disorder) , surgery
Invagination is specific form of bowel obstruction that is seen in 1-4 children per 1000 births, usually in the period from 3 to 12 months of age. In 90-95 % reason for invagination in unknown so we called this forms idiopathic. In 5-10% invagination is caused by specific leading point. The aim of this retrospective study was to determinate prognostic valye of used biochemical tests (hemograms, glucosa, electrolites ( levels of Na+, K+ , Ca+ and Cl-) and to prove bad influence of existing "leading point" in therapy of invagination (weather it will be surgical or hydrostatic desinvagination). Methods: We analyzed 65 patients with invagination. We divided all our patients into 2 groups: first group consisted patients with idiopathic forms of invagination, and the other one were patients with invagination caused by specific leading point. Results proved that leading point in invagination has great implications on clinical presentation, laboratory results, diagnostic and therapeutic procedure, and finally in prognosis. .