Intussusception

Intussusception (pronounced in-tuss-uss-EPP-shun) happens when 1 segment of the intestine (bowel) slides into the segment next to it, like a telescope. This often blocks the movement of food or fluid through the bowel. When this happens, the flow of blood to the affected area can also be cut off. Sometimes this leads to infection, a hole or even death of part of the bowel.

Intussusception is an emergency that needs to be treated right away. Call your doctor right away, or bring your child to our Emergency Department if they have severe pain in their belly or bloody stools.

• What causes intussusception?

  Any child can get intussusception, but it happens mostly in children 6 months to 2 years old. Most of the time, doctors do not know why it happens. Sometimes the cause is a structural problem, like a pouching out of the small intestine, a polyp or tumor.

Each year we treat many children with intussusception, often without surgery.

Contact our Pediatric General and Thoracic Surgery Department at 206-987-2794 if you have questions about intussusception treatment or care after surgery.

• Treatment without surgery

  Seattle Children’s has the lowest rate of surgery on children with intussusception in the state. For most children, we use an air or liquid enema to open the bowel.

• If surgery is needed, the experts are here

  If your child needs an operation, our surgeons are experts at intussusception repair. Because our surgeons have done so many cases, they have greater skill and can best decide when surgery is needed. This adds up to better outcomes.

  Our Emergency Department offers round-the-clock access to Seattle Children’s specialists and the full facilities of our hospital.

• We treat your whole child

  Children differ from adults in how they react to illness, medicine, pain and surgery. They need – and deserve – care designed just for them. That is why our surgeons are all board certified in pediatric surgery.

  We do tests, radiation and surgery only as needed. We use radiation doses lower than recommended by the American College of Radiology.

  Seattle Children’s is 1 of just 5 hospitals in the nation recognized by ChildKind International for how well we prevent and treat pain in children.

• Support for your whole family

  At Seattle Children’s, you have a full team behind you. This includes doctors, nurses, dietitians, child life specialists and others.

  We take time to explain your child’s condition. We help you fully understand your treatment options and make the choices that are right for your family.

  We work with many children and families from around the Northwest and beyond. We can help with financial counseling, schooling, housing, transportation, interpreter services and spiritual care. Learn about our services for patients and families.

Your child will need surgery if: 

• Doctors are worried that the lining of your child’s belly is infected (peritonitis).
• The enema does not push the bowel back into place.
• Your child has a structural problem with their bowel. 

Contrast enemas using air or liquid are useful even if they don’t open your child’s intussusception. Doctors use the X-ray images to plan for surgery.

At the time of surgery, we will give your child medicine (general anesthesia) to make them sleep without pain. The doctors at Seattle Children’s who give your child anesthesia are board certified in pediatric anesthesiology. This means they have extra years of training in how to give anesthesia to children safely.

• During surgery

  There are two types of surgery for intussusception. Your child’s surgeon will talk with you about the best type for your child: 

  • Through 3 or 4 tiny cuts. This is called laparoscopic surgery.
  • Through 1 larger cut (open surgery). 

  After making the cut in your child’s belly, the surgeon will: 

  • Free the trapped segment of bowel.
  • Remove any blockage.
  • Cut out any part of the bowel that is dead or has severe damage and then sew the sections back together.
• After surgery

  After surgery, we will give your child pain medicine to make them comfortable. It takes some time for their bowel to recover. How soon your child can eat or drink will depend on the type of surgery they had. Your child will be ready to go home when they: 

  • Can eat a normal diet for their age
  • Have no fever or drainage from the surgery site
  • Have a bowel movement 

  Most children can go home 1 or 2 days after their operation. If your child has a more complex operation, they may stay in the hospital 5 to 7 days.

• How will I care for my child at home after surgery?

  Before your child goes home, the surgery team will: 

  • Teach you how to keep your child’s incision clean and dry until it heals.
  • Explain what kinds of food or medicine to give your child.
  • Tell you if you need to limit your child’s activity for a while. School-age children will need a few days of rest at home before going back to school. They should wait 2 weeks before they return to gym class and sports. 

  Between 1% and 5% of children have intussusception again after surgery. We will tell you symptoms to watch for.

  You will need to bring your child in for a checkup visit 2 to 4 weeks after their surgery. We will check that your child’s incision is healing and they are recovering well.