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A clinicostatistical Study of Congenital Intestinal Obstruction.

Journal of the Korean Pediatric Society 1990;33(4):456-462.
Published online April 30, 1990.
A clinicostatistical Study of Congenital Intestinal Obstruction.
Min Young Lee, Young Sook Hong, Se Jin Kang, Soon Kyum Kim, Pyung Hwa Choe
Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea
선천성 장폐쇄증에 관한 임상통계적 관찰
이민영, 홍영숙, 강세진, 김순겸, 최평화
고려대학교 의과대학 소아과학교실
Received: 28 September 1989   • Accepted: 6 November 1989
Abstract
A clinicostatistical assessment of the 134 patients with congenital intestinal obstruction who were admitted to the department of pediatrics and pediatric surgery. Korea university medical center from Feb. 1979 to June. 1988 was performed. The results were as follows. 1) Congenital hypertrophic pyloric stenosis (43 cases) was the' most common congenital intestinal obstruc- tion, and congenital megacolon (24 cases), imperforate anus (23 cases), omphalocele (11 cases), diaphragmatic hernia (9 cases), malrotation (7 cases), atresia or stenosis (6 cases), esophageal atresia with tracheoesophageal fistula (6 cases), gastroschisis (2 cases), Meckefs diverticulum (2 cases), congenital band (1 cases) were in order of frequency. 2) Male was predominant than female in proportioin of 2'5:1 3) Regional distribution showed that 81 cases were obstruction in large intestine and 49 cases were in small intestine. 4) Prevalence of age was as follows; under the 6 mo of age (82.1%), 7—12 mo of age (4.5%), 2〜5 yr age (8.3%), 6〜 10 yr of age (3.7%), over 10 yr of age (1.5%). 5) The main symptoms and signs were vomiting (53.7%), abdominal distension (29.1%), difficulty of defecation (21.6%), dyspnea (7.5%). 6) Overall mortality rate was 5.2% (7 out of 134 cases).
Key Words: Congenital Intestinal Obstruction


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