How to treat intestinal cages in a child

The article was consulted professionally by Dr. Tran Thi Linh Chi – Department of Pediatrics – Newborn, Share99 Hai Phong International Health Hub. He has 15 years of experience working in pediatrics, former head of functional exploration department, head of thoracic cardiologist department of Hai Phong Children's Health Hub. He has strengths in examining and treating pediatric diseases, congenital heart counseling.

Intestinal cage is a common gynecological disease in children, which occurs due to a part of the intestine that is turned upside down, entering the next intestinal tract. This is the cause of mechanical intestinal obstruction, the mechanism is both tight and tightening.

1. How to treat intestinal cages in breastfeeding babies

There are many ways to treat intestinal diseases in breastfeeding babies, the doctor will based on the disease situation and the health conditions that the child chooses.

  • Remove the cage with an inflatable

Today, inflatable cage removal in the treatment of intestinal cages is commonly used in place of the previous method of removing the cage with Baryt.

In our country, removing the cage with inflatables began to be carried out from 1964, until 1973, Ngo Dinh Mac has researched and developed comprehensively, along with the cage removal machine with pressure control valve was born. This helps to prevent complications of rupture of the colon when removing the intestinal cage.

In this method, vapors are pumped into the rectum for a period of 3 minutes, monitored so that the pressure is less than 80cm H2O (for children under 6 months) and less than 120cm H2O (in children older than 6 months). If the patient arrives early (in the first 24 hours) then the success rate of cage removal is 90%.

X-rays should be used to assess the successful removal of the cage

X-rays should be used to assess the successful removal of the cage

To assess the removal of the cage, perform:

  • X-ray: slightly from the ileum to the end of the ileum, the clues of the colon, the colon up, the intestines return to normal.
  • Clinical: abdominal pain, vomiting, yellow stools, restless sleep.

It is necessary to be wary of the case of an ancular – ancile – colon cage, at this time although slightly has turned to the small intestine but still has ancular – ileum cage.

  • Remove the cage with water

Hirschsprung (1876) reported many patients were successfully removed by water pressure. Today, this method of removing the cage can be carried out easily in the ultrasound room.

The solution consists of water, Ringer solution or physiological saline. The removable solution is warmed to body temperature, then pumped into the rectum through the Foley tube (No. 10 – 18F) under 100 mmHg pressure.

Monitor the results of removal of the cage with ultrasound, if there is no longer a cage block image, and the water and air bubbles from the ileum overflow to the end of the ileum have successfully removed the cage. The success rate of the method of removing the cage with water is 50-89%. With this method, pediatric patients do not have to use X-rays.

  • Remove the cage with baryt

In 1913, Ladd adopted a colon scan in combination with a fluorescent pump to diagnose intestinal cage disease. Baryt's intestinal cage treatment was later introduced, which is now less applicable, not used in the intestinal cage after 24 hours.

Baryt indentation is currently considered only a diagnostic method, should not be considered as a treatment, removing the intestinal cage in this method should only be considered lucky during diagnosis.

Here, the baryt load puts indentation 80- 100cm higher than the table, and then monitors the patient through the fluorescent screen, most concerned when the drug arrives at the top of the cage block, maintaining less pressure for less than 5 minutes.

Sepsis in children

Patients successfully remove the intestinal cage from pain, vomiting

Signs signal the successful removal of the cage when the baryte rushes into the ileum, ileum and ileum back to its normal position. The patient is out of pain, out of vomiting, yellow stools.

  • Medical treatment

In the mid-17th century, Paul Barbette described intestinal disease and suggested surgical methods for removing the cage. In 1871, Jonathan Hutchinson performed his first successful cage removal surgery and was applied to the present.

This method is indiced when the intestinal cage is contraindiced to removing the cage with gas or the other method to no reteration.

  • Insymity: in-administration anesthesia is required.
  • Incision line: white sugar in the upper middle and under the navel.
  • Cage removal technique:
    • Seeing the cage block, use your hands to gently reverse the intestinal pererosis, from the bottom to the top, gradually repel the cage block. If you have difficulties, you need to apply a warm serum or launch novocain.
    • If necrosis of the cage intestines must be removed, the intestines should be connected immediately or outwardly depending on the condition of the intestines and abdomen:
    • If the abdomen does not have peritonitis, the intestinal mucosa is still good, it is recommended to connect the intestine immediately.
    • If the abdomen is inflamed peritonitis it is necessary to save the two intestinal heads outwards.
  • It is necessary to cut the appendix and fix the ileum to the ileum, the ileum with the right abdominal wall.

2. Treatment of intestinal cages in older children

The majority of intestinal cages in older children have physical causes, the disease is prone to recurrence, it is common to have ancular cage – manh – colon, so the most effective method is surgery toremove the cage , fix the clues to the right abdominal wall, the ileum into the ileum and cut the appendix.

Besides, it is also necessary to pay attention to find the causes of the disease to solve such as: cutting Meckel diverticure, tumours, polyps …

As a key area of Share99 Health System, Pediatrics always brings satisfaction to customers and is highly appreciated by industry experts with:

  • Gathering a team of leading doctors in Pediatrics:including leading experts, highly specialized (professors, associate professors, doctors, masters), experienced, used to work at large hospitals such as Bach Mai, 108.. The doctors are well-trained, professional, mind-centered, knowledgeable about the child's psychology. In addition to domestic pediatricians, pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) always pioneering the application of the latest and most effective treatment regimens.
  • Comprehensive services:In the field of Pediatrics, Share99 provides a chain of continuous medical examination and treatment services from Newborn to Pediatrics and Vaccines,… according to international standards to take care of your baby's health with parents from birth to adulthood
  • Intensive techniques:Share99 has successfully implemented many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery – skull, hematoma stem cell transplantation in cancer treatment.
  • Professional care:In addition to understanding the young psychology, Share99 also pay special attention to the children's play space, help them play comfortably and get acquainted with the hospital environment, cooperate in treatment, improve the efficiency of medical examination and treatment.

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About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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