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Review Article
Gastroenterology
Current diagnosis and image-guided reduction for intussusception in children
Jisun Hwang, Hee Mang Yoon, Pyeong Hwa Kim, Ah Young Jung, Jin Seong Lee, Young Ah Cho
Clin Exp Pediatr. 2023;66(1):12-21.   Published online July 4, 2022
· Intussusception, the most common cause of small bowel obstruction in young children, has an overall incidence in Korea of 28.3 cases per 100,000 person-years.
· Its cause is idiopathic inmost cases, although viral or bacterial gastroenteritis has beenpostulated as a cause. Approximately 4% of children have pathological lead points for intussusception, and Meckel’s diverticulum is the most common cause.
· Intussusception in preterm infants is extremely rare. Older children (>5 years of age) are at increased risk of pathological lead points.
Case Report
A case of hemolytic uremic syndrome preceded by intussusception
Eun Young Ko, Joo Young Kim, Hye Jin Lee, Hyun Seung Lee, Ji Whan Han, Young Hoon Kim, Jin Tack Kim, Hae Il Cheong, Pil Sang Jang
Clin Exp Pediatr. 2011;54(4):176-178.   Published online April 30, 2011

Hemolytic-uremic syndrome (HUS) is the most common cause of acute renal failure in young children. It is classically characterized by the triad of microangiopathic hemolytic anemia, thrombocytopenia, and uremia. Further, not only is intussusception one of the differential diagnoses of HUS but it may also become a complication during disease progression. We report a case of HUS preceded by intussusception...

Original Article
Clinical features of transient small bowel intussusception in children
Ji Seung Heo, Eun Min Seo, Eun Jung Shim, Do Jun Cho, Dug Ha Kim, Ki Sik Min, Ki Yang Yoo, Kwan Seop Lee
Clin Exp Pediatr. 2008;51(5):500-505.   Published online May 15, 2008
Purpose : We analyzed the clinical features, management and outcome of small bowel intussusception in children compared with ileocolic intussusception. Methods : We retrospectively reviewed the records of 210 children with documented intussusception, in whom intussusception was initially diagnosed by ultrasonography during the four-year period of 2002 to 2005. Results : A total of 191 children were diagnosed with ileocolic intussusception and...
Case Report
A Case of Intussusception Caused by Meckel's Diverticulum in a Newborn
Seung Taek Yu, Yeon Kyun Oh, Won Churl Park, Eun A Kim, Chang Woo Lee, Hyang Suk Yoon
Clin Exp Pediatr. 2005;48(8):907-910.   Published online August 15, 2005
Intussusception and Meckel's diverticulum are very rare disorders in intrauterine or neonatal periods, which are causes of intestinal obstruction. We experienced a case of intussusception due to Meckel's diverticulum which caused intestinal obstruction in the neonate who had bilious vomiting a few hours after birth. We report this case with a brief review of the literature.
A Case of Jejunal Juvenile Polyp Presented as Intussusception
Ki Beom Kwon, Mee Yong Shin, Kye Won Kwon, Jae Ock Park
Clin Exp Pediatr. 2005;48(4):453-456.   Published online April 15, 2005
Single or scattered sequential hamartomatous juvenile polyps are common in the large intestine, especially the rectosigmoid area, where they are usually nonfamilial. Juvenile polyps arising in the small inestine are very rare. Juvenile polyps are usually found in children aged between 1 and 10 years, the majority of cases are between 2 and 4 years of age. Bleeding is the...
Original Article
The Diagnostic Value of Gross Bloody Stool on Intussusception
Kyung Ah Nam, Sang Hee Lee, Sang Hee Son, Su Jin Jung, Son Sang Seo
Clin Exp Pediatr. 2004;47(8):851-854.   Published online August 15, 2004
Purpose : To evaluate the diagnostic value of gross bloody stools as a predictor of intussusception. Methods : We reviewed 159 cases retrospectively that had an ultrasound examination for diagnosis of intussusception from January 2001 to December 2003 at Ilsin Christian Hospital. We compared each symptom and assessed the diagnostic value of gross bloody stools in the patients with suspected intussusception. Results...
Case Report
A Case of Ileocolic Type Intussusception Associated with Hematemesis
Young Hee Kim, Seung Soo Kim, Eun Sook Suh
Clin Exp Pediatr. 2003;46(7):722-725.   Published online July 15, 2003
Intussusception is a common cause of lower intestinal bleeding from five to 11 months of age. Typical symptoms are paroxysmal colicky pain, irritability, vomiting, abdominal mass and currant jelly stool, but hematemesis is rare. Though the most common type of intussusception is ileocecal type, it is rarely accompanied with hematemesis. Up until the present, hematemesis has been observed rarely but...
Original Article
Colon Perforation during Air Enema Reduction of Intussusception
Yong Kuk Kim, Hae Ra Im, Gwang Hoon Lee, Soo Jin Han, Yong Han Sun, Eell Ryoo, Kang Ho Cho, Hann Tchah, Hak Soo Lee
Clin Exp Pediatr. 2003;46(1):37-41.   Published online January 15, 2003
Purpose : Although air enema reduction has been known as a good method of diagnosis and treatment of intussusception, it could develop colon perforation. However, there have been few studies about this complication. So we analyzed the risk factors of colon perforation during air enema reduction in patients with intussusception. Methods : We reviewed the charts of 12 colon perforation patients...
Predictive Factors of Saline Reduction under Ultrasound-guidance in Patients with Intussusception
Jung-Hye Min, Hye-Young Lee, Eun-Sun Yo, Jeong-Wan Seo, Seung-Joo Lee, Sun-Hwa Lee
Clin Exp Pediatr. 1999;42(2):221-226.   Published online February 15, 1999
Purpose : The purpose of this study was to investigate the predictive factors of saline reduction under ultrasound-guidance in patients with intussusception. Methods : Ultrasound-guided saline enema reductions were performed in 105 patients with intussusception from September 1993 to April 1996 at Ewha Womans University Mok-dong Hospital. Clinical characteristics and ultrasonographic findings were analyzed as the predictive factors of ultrasound-guided saline...
The Risk Factors related to Recurrent Intussusception by Ultrasonography
Eun sun Yoo, Jeong Wan Seo, Seung Joo Lee
Clin Exp Pediatr. 1996;39(12):1707-1716.   Published online December 15, 1996
Purpose : We investigate the risk factors of recurrence after first intussusception. Methods : We have studied the relationship of the clinical features and ultrasonographic findings and the risk of recurrent intussusception in 97 patients with reduced intussusception including 22 recurrent intussusception who admitted at the department of pediatrics at Ewha Womans University Mok-dong hospital from September 1993 to Feburary 1996. Results...
Responses to Growth Hormone Treatment in Children with Short Stature Secondary to Intrauterine Growth Retardation
Byung Churl Lee, Dong Won Kin, Byung Kyu Suh
Clin Exp Pediatr. 1995;38(12):1671-1676.   Published online December 15, 1995
Purpose : Several studies recently have emphasized the value of sonography as an new therapeutic method for hydrostatic reduction of intussusception by using a saline enema under ultrasound guidance. The purpose of this study was to asses the diagnostic screening efficacy of sonography in suspected childhood intussusception and the value of ultrasound guidance in hydrostatic reduction performed with saline enema. Methods...
Comparison of Diagnostic and Therapeutic Efficacy between Ultrasound Guided Hydrostatic Saline Reduction and Fluoroscopic Barium Reduction in Children with Intussusception
Chi Hyung Park, Ho Seok Lee, Chong Woo Bae, Sa Jun Chung, Young Mook Choi, Sun Wha Lee, Yup Yun
Clin Exp Pediatr. 1995;38(12):1664-1670.   Published online December 15, 1995
Purpose : Several studies recently have emphasized the value of sonography as an new therapeutic method for hydrostatic reduction of intussusception by using a saline enema under ultrasound guidance. The purpose of this study was to asses the diagnostic screening efficacy of sonography in suspected childhood intussusception and the value of ultrasound guidance in hydrostatic reduction performed with saline enema. Methods...
Clinical Approach of Ultrasonography in the Diagnosis of Intussusception in Infant and Children
Hee Tag Lim, Jin Kil Park, Hong Ju Choi, Jae Sam Kim, Hyo Kyung Shin, Chul Hoi Gu
Clin Exp Pediatr. 1994;37(5):649-654.   Published online May 15, 1994
Thirty consecutive partient seen in a pediatric out patient and emergency department, in whom the diagnosis of intussusception was considered, had an ultrasound examination of the abdomen before the barium enema. The peak age was 5~12 month(range 4~34 month). Intussusception was detected by ultrasonography in all 25 cases proved by barium enema(sensitivity 100%). Normal findings on ultrasonography correlated with negative barium...
Clinical Study of Intussusception in Infancy and Childhood -Comparing the Result of Barium Enema with that of Air Enema-
G.H. Lee, N.M. Park, S.C. Kim, M.J. Chey, S.J. Shon, K.H. Kim, H.S. Lee, Y.S. Lee
Clin Exp Pediatr. 1993;36(7):951-958.   Published online July 15, 1993
Intussusception is the most common cause of acquired intestinal obstruction during infancy and early childhood and requires early diagnosis and treatment. We observed 431 cases of intussusception who admitted at Chungang Gil Hospital from January 1987 to June 1991, and compared the result of treatment with Barium Enema in 302 cases with that of Air Enema in 129 cases. The results were...
Saline reduction of intussusception under ultrasound guidance.
Min Hyea Kim, Jung Weon Seo, Sung Joo Lee
Clin Exp Pediatr. 1991;34(12):1678-1682.   Published online December 31, 1991
Intussusception is the most common cause of acquired intestinal obstruction and requires emer- gency treatment. Recently, saline reduction under the ultrasound guidance has been successful as a diagnostic and therapeutic tool of intussusception. It is a simple, rapid, noninvasive, painless procedure without risk of radiation. We compared the result of saline reduction in 54 cases with that of barium reduction in 104 cases from January, 1988...
Diagnosis and hydrostatic saline reduction of intussusception under ultrasonographic guidance.
Jong Yul Jeon, Jae Yun Kim, Chong Woo Bae, Sung Ho Cha, Chang Il Ahn, Sun Wha Lee, Jae Hoon Lim
Clin Exp Pediatr. 1991;34(6):771-778.   Published online June 30, 1991
Recently, a new technique of reduction for intussusception using saline solution and ultrasonogram instead of barium enema is being used in several centers. In order to evaluate its efficacy, we have conducted the clinical observation in 40 patients with intussusception who were treated by hydrostatic saline reduction under the ultrasonographic guidance in Kyung-Hee University Hospital from June 1989 to July 1990. We have observed...
Clinical study of intussusception in infants and childhood.
Sang Joo Han, Yeon Sung Lim, Bae Young Kim, Won Il Park, Kung Ja Lee
Clin Exp Pediatr. 1989;32(11):1489-1495.   Published online November 30, 1989
Intussusception is an invagination of a segment of the gastrointestinal tract into an adjacent segment. It is the most common cause of acquired intestinal obstruction during infancy and early childhood. We compared the results of treatment with Barium Enema in 33 cases with that of Controlled Air Insufflation in 31 cases from January, 1985 to December, 1987. The results were as follows: 1) In age incidence, 86%...
Comparison Study of Initial and Recurrent Intussuception in Children.
Eun Kyoung Sohn, Byoung Soo Cho, Sung Ho Cha, Chang Il Ahn, Soo Myung Oh
Clin Exp Pediatr. 1989;32(10):1353-1359.   Published online October 31, 1989
We performed statistcial evaluation on initial intussusception, 426 cases,and recurrent intussuscep- tion, 40 cases (28 children), recurred more than one time among 426 cases of initial intussusception which were managed in the depratment of pediatrics and the department of pediatric surgery at Kyung Hee University Hospital from Jan. 1983 to Dec. 1987. The results were as follows: 1) The peak incidence was found in less than...
Clinical Study of Intussusception in Childhood Comparison Between Barium Reduction Group and Surgically Treated Group.
Seung Hyun Cheon, Kyoung Sim Kim, Young Wook Kim, Ki Bok Kim
Clin Exp Pediatr. 1989;32(5):630-637.   Published online May 31, 1989
A clinical study was undertaken on 172 cases of intussusception who had been admitted to Kwangju Christian Hospital from Jan. 1981 to June 1987. 110 cases were treated by barium reduction, were analyzed and were compared with 62 cases treated surgically. The results were as followed; 1) In age incidence, 88.2% of barium reduction group (BRG) and 85.5% of surgically treated group (STG) were...
Recurrent Intussusception in Infants and Children.
In Suck Ryu, Ki Sup Chung
Clin Exp Pediatr. 1989;32(1):34-44.   Published online January 31, 1989
A clinical study of 687 patients including 76 with one or more episodes of recurrent intussusception who had been admítted to Severance Hospital, Yonsei University College of Medicine during the 5 year and 4 month period from Jan. 1982 to Apr. 1987 was made and compared with previous clinical data collected from 1977 to 1981. The results were as follows. 1) The overall recurrence rate...
A Clinical Review of Intussusception in Infant and Children.
Myeong Hee Cha, Young Jin Min, Kyeong Sook Cho, Jong Dae Cho
Clin Exp Pediatr. 1988;31(9):1153-1162.   Published online September 30, 1988
Intussusception is the condition of invagination of a proximal segment of the bowel into the more distal receiving bowel. During infancy and early childhood, intussusception is the most common cause of acquired intesti- nal obstruction, and it is requred emergency treatment. There were 196 patients (233 cases) of intussusception at the Maryknoll Hospital, Pusan, over a 3 year period between 1984 and 1986. A clinical evaluation...
A Comparative clinical study of Intussusception with Barium or Surgical Reduction.
Hyeon Soo Lee, Chang Ho Hong, Ki Sub Chung, Sung Gyu Lee, Ki Gun Oh, Sung Guk Sohn
Clin Exp Pediatr. 1988;31(9):1146-1152.   Published online September 30, 1988
A chinical study was performed on 294 cases of intussusception in infants and children, who were admitted to the Department of Pediatrics, Yong Dong Severance Hospital from January, 1983 to December, 1986. 240 cases were treated by barium reduction, were analysed clinically and were compared with 54 cases treated surgrally. The results were as followed: 1) As for the peak incidence of intussusception, 30.4% of...
A Clinical Study on Intussusception in Infancy and Childhood.
Seung Myun Won, Bok Lyun Kim, Jae Ock Park, Sang Jhoo Lee
Clin Exp Pediatr. 1987;30(2):150-157.   Published online February 28, 1987
Intussusception which is the most common cause of acquired intestinal obstruction during infancy and early childhood requires emergent diagnosis and treatment because if untreated the infant is nearly always fatal. A clinical evaluation was performed on 190 cases of intussusception in infants and children, who were admitted to the Pediatric department of Soon Chun Hyang University Hospital from Jan. 1979 to Dec. 1983. The results...
A Clinical Study of Intussusception in Infants And Children.
Dong Youl Lee, Woan Chul Suh, Hee Ju Kim, Jae Sun Jung, Sung Ill Ahn
Clin Exp Pediatr. 1985;28(11):1104-1111.   Published online November 30, 1985
The authors obtained the following results on a clinical observation of 79 cases of intussusception who admitted to Ped. Department of Seoul Eul-Ji Hospital for 38 months from May 1981 to June 1981 to June 1984. Its characteristic results were as follows: 1)In age incidence, 80% of cases were under 1 year of age, and male to female ratio female ratio...
A Clinical Study of Intussusception in Infancy and Childhood.
Won Kyung Kim, Sang Wook Song, Kyung Tae Kim, Jung Hee Lee
Clin Exp Pediatr. 1985;28(5):470-476.   Published online May 31, 1985
Intussusception is the condition of invagination of one part of intestinal loop into the continuous distal segment. The author observed 72 cases of intussusception who admitted at Pusan St. Benedict Hospital from January 1981 to December 1983. The results were summarized as follow; 1)77.7% of patients were under 1 year of age, 95.8% under 2 years of age and peak incidence...
A Clinical Study of Intussusception in Infancy and Childhood.
Geom Huyn Jang, Yong Hae Lee, Jun Taek Park, Chang Hee Choi
Clin Exp Pediatr. 1984;27(5):447-456.   Published online May 31, 1984
Intussusception is the condition of invagination of one part of intestinal loop into the continuous distal segment. During infancy and early childhood, intussusception is the most common cause of acquired intestinal obstruction, and it is required emergency treatment. The authors observed 163 cases of intussusception who admitted to Seoul Adventist Hospital from March 1977 to August 1983, and the following results...
A Clinical Observation of Intussusception in Infants and Children: Comparing the results of barium enema with that of controlled air insufflation.
Nam Heon Kim, Won A Park, In Ho Kim, Churl Young Chung, Sang Woo Kim
Clin Exp Pediatr. 1982;25(7):708-716.   Published online July 31, 1982
Intussusception which is the mot frequent cause of intestinal obstrucsion in childhood, is the invagination of a segment of the gastrointestinal tract into an adjacent segment. Since 1927, barium enema under fluoscopic guidance has been used widely as a therapeutic method. In 1953, Fiorito and Cuestas reported the use of controlled insufflation of air for diagnosis and treatment of intussusception....
A Clinical Study of Recurrent Intussusception.
Hae Ok Kim, Jae Oh Kim, Jeong Woo Suk, Keun Chan Sohn
Clin Exp Pediatr. 1981;24(12):1173-1184.   Published online December 15, 1981
One hundred and ninty nine patients (215 episodes) of intussusception who had been treated at either department of Pediatrics and General Surgery, National Medical Center during the period of 10 years and 7 months from 1970 to 1980 were collected and analyzed statistically. Sixteen patients (32 episodes) out of 199 patients (215 episodes) had been recurred, which were analyzed clinically...
Cases Studies of Intussusception with Special References.
Kyung Sook Choi, Myoung Sook Kim, So Kyung Park, Dong Hak Shin
Clin Exp Pediatr. 1981;24(9):844-853.   Published online September 15, 1981
This paper present 105 cases which were admitted to the Department of Pediatrics of Dong San Presbyterian Hospital from Jan. 1978 to July, 1980 The results are summarized as follows; 1) Age incidence, 94% of patients were under age of two, 88.2% of patients were under one year, and adults were high incidence in Korea. 2) Male to female ratio...
A Clinical Study of Recurrent Intussusception.
K Y Yoon, B H Kim, H S Park, W G Lee, C M Park
Clin Exp Pediatr. 1981;24(5):445-450.   Published online May 15, 1981
Intussusception is the invagination of a portion of the intestine into itself and one of the most important surgical emergency in infancy and early childhood. The etiology of mosts recurrent intussusception is unknown. Therefore, it is very difficult to identify the cause. Very few studies and references on recurrent intussusception were reported in Korea. Authors had been studied and analized...