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PEDIATRICS Vol. 111 No. 3 March 2003, pp. 682-685

EXPERIENCE AND REASON

Medical Treatment of Recurrent Intussusception Associated With Intestinal Lymphoid Hyperplasia

Eyal Shteyer, MD*, Benjamin Z. Koplewitz, MD{ddagger}, Eitan Gross, MD§ and Esther Granot, MD*

* Departments of Pediatrics
{ddagger} Radiology
§ Pediatric Surgery
Hadassah Medical Center and the Faculty of Medicine
The Hebrew University
Jerusalem 91120 Israel

--> Intestinal lymphoid hyperplasia (ILH) is an uncommon cause of recurrent intussusception in infants and young children. Surgical treatment has been suggested in the management of this disorder.

We report 2 cases in which recurrent intussusception was associated with ILH. A short course of steroids resulted in resolution of both symptoms and hyperplasia.

We conclude that when recurrent intussusception occurs in association with ILH, and no other lead point can be identified, it is important that treatment with steroids is considered before resorting to a more radical surgical approach.

Key Words: intestinal nodular lymphoid hyperplasia • recurrent intussusception • steroids

Abbreviations: ILH, intestinal lymphoid hyperplasia • GI, gastrointestinal

Received for publication Oct 19, 2001; Accepted Jul 22, 2002.