Intestinal invagination in children

The new edition of the clinical guidelines developed by the specialists of the Russian Association of Pediatric Surgeons contains updated information on the treatment and diagnosis of the disease in accordance with the changes that have occurred at the present stage. The recommendations presented are based on the results of completed domestic and international randomized clinical trials, including systematic reviews and meta-analyses. For the first time, clinical recommendations have noted the role of nonspecific mesadenitis in the etiopathogenesis of ileocecal invagination in children, as well as changes in the age characteristics of the disease from infancy to early childhood. In the presented edition, the algorithm that has been in place in our country for a long time has been changed with age and time restrictions on the use of a conservative treatment method and conservative treatment of ileocecal invagination is recommended in all uncomplicated cases. Surgical treatment for ileocecal invagination is recommended for the development of complications (necrosis of the invaginate, peritonitis, small intestinal obstruction), suspected anatomical cause according to ultrasound and recurrence of the disease. The publication is intended for practicing pediatric surgeons, anesthesiologists, intensive care physicians, pediatricians and specialists in related specialties, as well as residents and graduate students of relevant fields.