Intussuception in adults: surgical aspects
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* A.J. Montiel-Jarquín

In regard to an article published in the February issue of the *Canadian Journal of Surgery*,1 entitled “Surgical images: soft tissue. Transverse colonic intussusception,” the authors should not have tried manual reduction, since a great percentage of the intussusceptions in adults (up to 65%)2,3 has a malignant origin,4 and manual reduction could cause a dispersion of the tumour. It is necessary to be sure that the lesion has no malignant origin, by sending a transoperatory histopathological test. Invaginations in adults must be resected without attempting reduction.

They are mostly of the ileocolic variety, and coloenteric anastomosis in either case has good results, any time a patient is under adequate intestinal preparatory preparation, despite being different from neoplasic pathology.

## Footnotes

*   **Competing interests:** None declared.

## References

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