This document provides tips and instructions for using a PowerPoint presentation on intussusception. It recommends that users freely edit and modify the presentation. It also suggests using a technique where blank slides are first shown to students to elicit what they know about each topic before presenting additional details on the next slide. This active learning approach should be repeated over three revisions for maximum benefit. The presentation includes objectives, sections on relevant anatomy, aetiology, clinical features, investigations, management, and other topics. It contains placeholder slides for each section that can be built out.

1. Tips on using my ppt.
1. You can freely download, edit, modify and put your
name etc.
2. Don’t be concerned about number of slides. Half the
slides are blanks except for the title.
3. First show the blank slides (eg. Aetiology ) > Ask
students what they already know about ethology of
today's topic. > Then show next slide which enumerates
aetiologies.
4. At the end rerun the show – show blank> ask questions >
show next slide.
5. This will be an ACTIVE LEARNING SESSION x
three revisions.
6. Good for self study also.
7. See notes for bibliography.

2. Objectives

3. Objectives
1. Introduction & History
2. Relevant Anatomy, Physiology
3. Aetiology
4. Pathophysiology
5. Pathology
6. Classification
7. Clinical Features
8. Investigations
9. Management
10. Prevention
11. Guidelines
12. Take home messages

4. Introduction & History.
•

5. Introduction & History.
• Intussusception is a process in which a
segment of intestine invaginates into the
adjoining intestinal lumen, causing bowel
obstruction.

6. Relevant Anatomy

7. Relevant Anatomy
• 2 variants:
1. Idiopathic intussusception, which usually
starts at the ileocolic junction and affects
infants and toddlers,
2. Enteroenteral intussusception
(jejunojejunal, jejunoileal, ileoileal), which
occurs in older children

8. Aetiology

9. Aetiology
• Idiopathic
• Congenital/ Genetic
• Nutritional Deficiency/excess
• Traumatic
• Infections /Infestation
• Autoimmune
• Neoplastic (Benign/Malignant)
• Degenerative / lifestyle
• Iatrogenic
• Psychosomatic
• Poisoing/ Toxins/ Dtug induced

10. Aetiology
• Idiopathic
• Enteroenteral intussusception is associated with
special medical situations
1. Henoch-schönlein purpura [HSP]
2. Cystic fibrosis,
3. Hematologic dyscrasias
4. Secondary to a lead point
5. Occasionally occur in the postoperative period.
6. Ca. Colon

11. Clinical Features

12. Clinical Features
• Demography
• Symptoms
• History
• Signs
• Prognosis
• Complications

13. History

14. History
• The patient with intussusception is usually
an infant, often one who has had an upper
respiratory infection,

15. Symptoms

16. Symptoms
• Classic triad

17. Symptoms
Classic Triad of signs and symptoms
1. Vomiting
2. Abdominal pain
3. Passage of blood per rectum.

18. Symptoms
• Vomiting
• Abdominal pain
• Passage of blood and mucus:
• Diarrhea
• Lethargy
• Palpable abdominal mass

19. Signs

20. Signs
• Right hypochondrium sausage-shaped mass
and
• Emptiness in the right lower quadrant
(dance sign)
• Abdominal distention

21. Prognosis

22. Prognosis
• With early diagnosis, appropriate fluid
resuscitation, and therapy, the mortality rate
from intussusception in children is less than
1%.
• If left untreated, however, this condition is
uniformly fatal in 2-5 days.

23. Complications

24. Complications
• Gangrene
• Perforation
• Peritonitis

25. Investigations

26. Investigations
• Laboratory Studies
– Routine
– Special
• Imaging Studies
• Tissue diagnosis
– Cytology
• FNAC
– Histology
– Germline Testing and Molecular Analysis
• Diagnostic Laparotomy.

27. Diagnostic Studies

28. Diagnostic Studies
Imaging Studies
• X-Ray
• USG
• CT
• Angiography
• MRI
• Endoscopy
• Nuclear scan

29. Diagnostic Studies
Imaging Studies
• X-Ray
• USG
• CT
• Angiography
• MRI
• Endoscopy
• Nuclear scan

30. Diagnostic Studies
Radiography
• Plain X-ray
• Contrast enema:

31. Diagnostic Studies
Ultrasonography
• Target sign
• Pseudokidney signs

32. Non Operative Therapy

33. Non Operative Therapy
• Nonoperative reduction
• Hydrostatic: With barium or water-soluble
contrast
• Pneumatic: With air insufflation

34. Operative Therapy

35. Operative Therapy
• Manual reduction
• Segmental resection with an end-to-end
anastomosis is performed.

36. Minimally invasive Therapy

37. Minimally invasive Therapy
• Laparoscopy

38. Get this ppt in mobile
1. Download Microsoft
PowerPoint from play
store.
2. Open Google assistant
3. Open Google lens.
4. Scan qr code from
next slide.

40. Get this ppt in mobile
1. Download Microsoft
PowerPoint from play
store.
2. Open Google assistant
3. Open Google lens.
4. Scan qr code from
next slide.

41. Get this ppt in mobile

42. Get my ppt collection
• https://www.slideshare.net/drpradeeppande/
edit_my_uploads
• https://www.dropbox.com/sh/x600md3cvj8
5woy/AACVMHuQtvHvl_K8ehc3ltkEa?dl
=0
• https://www.facebook.com/doctorpradeeppa
nde/?ref=pages_you_manage