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Clinical study of intussusception in infants and childhood.

Journal of the Korean Pediatric Society 1989;32(11):1489-1495.
Published online November 30, 1989.
Clinical study of intussusception in infants and childhood.
Sang Joo Han, Yeon Sung Lim, Bae Young Kim, Won Il Park, Kung Ja Lee
Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
장충첩증의 임상적 고찰 -바리움관장법과 검압통기법의 비교 관찰-
한상주, 임연성, 김배영, 박원일, 이경자
한림대학교 의학부 소아과학교실
Received: 24 April 1989   • Accepted: 24 July 1989
Abstract
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% of the patients were between 4—18 months of age and male were more affected than female as a ratio of 2.8:1. 2) Slight prevalence was noted during summer, but not significant. 3) The common symtoms and signs were irritability and abdominal pain 82.8%, vomiting 81.3%, bloody mucous stool 75%, and abdominal mass 56.3%. 4) In analysis of anatomical type, the most common type was ileo-colic type (73.4%), and the next was ileo-cecal type (14.1%). 5) In the reduction rate, with Barium Enema was 84.8% and with Controlled Air Insufflation was 93.5%. 6) The time and pressure required for reduction with Controlled Air Insufflation were within 30 minutes (93.1%) and 60—120 mmHg (89.6%). 7) One case of bowel perforation was observed with Barium Enema but no comlplication was observed with Controlled Air Insufflation. 8) Recurrence rate was 15.2% after Barium Enema, 6.5% after Controlled Air Insufflation, and 22% after operation, and recurrence interval was the most frequently between 4~6 months after first reduction. 9) We observed several advantages of Controlled Air Insufflation such as simplicity, high reduction rate, and absence of life-threatening complications. And so we think that Controlled Air Insufflation is the safe method for diagnosis and treatment of intussusception in infants and childhood.
Key Words: Intussusception, Barium Enema, Controlled Air Insufflation


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