ETIOLOGY AND CLINICAL MANIFESTATIONS OF INTESTINE INTUSSUSCEPTION IN CHILDREN OF ARKHANGELSK REGION

A study of manifestations of etiological, age and morbidity aspects of intussusception has been carried out in Arkhangelsk and the Arkhangelsk region in different periods of time of observation and development of the disease’s model in the region. A retrospective analysis of 270 cases of IS in 264 children treated in the Arkhangelsk Children's Hospital from 1980 to 2011 has shown that age and etiological aspects and clinical manifestations of the disease changed with time. The average age of patients increased in the last period of 12.5 (7.0; 30.0) months; Me (Q1; Q3). IS often develops in autumn months (p = 0.001) and in more than a half of the cases - in connection with other diseases. The classical «triad» of the symptoms including abdominal pain, abdominal intussusception and blood from the rectum is detected less frequently, currently in 34.5 % of cases, more often, there is monitored the «diad» of the symptoms (vomiting and abdominal pains) (p < 0.001). Conclusion: the etiology, pathogenesis and clinical manifestations of intussusception have changed with time and have their own characteristics in a particular region. Creating a model of the disease will improve quality of intussusception diagnosis.