Experience in the diagnosis and treatment of intestinal intussusceptions in children

Intestinal intussusception is the most common type of acquired intestinal obstruction in children, while in the absolute majority this pathology occurs in infants [1-3]. Intestinal intussusception refers to a mixed form of mechanical obstruction (a combination of obturation and strangulation). This pathology is caused by discoordination of intestinal peristalsis with the formation of spasm sites, which contributes to the introduction of one part of the intestine into another, while more often the introduction occurs during peristalsis. In infants, this pathology develops against the background of anatomical and physiological features, which include mobility of the ileum and cecum, immaturity of the Bauginia flap [2; 3]. It is due to these features that invagination in children under one year of age most often develops in the area of the ileocecal angle. In addition, the age-related physiological immaturity of the intestinal enzymatic apparatus contributes to the development of this pathology. A significant role in the occurrence of intussusception belongs to the violation of the feeding regime of the child and factors contributing to changes in intestinal peristalsis - intestinal infections