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A Clinical Review of Intussusception in Infant and Children.

Journal of the Korean Pediatric Society 1988;31(9):1153-1162.
Published online September 30, 1988.
A Clinical Review of Intussusception in Infant and Children.
Myeong Hee Cha, Young Jin Min, Kyeong Sook Cho, Jong Dae Cho
Department of Pediatrics, Pusan Maryknoll Hospital, Pusan, Korea
소아 장중첩증의 임상적 고찰
차명희, 민영진, 조경숙, 조종대
부산 메리놀병원 소아과
Received: 13 February 1988   • Accepted: 9 May 1988
Abstract
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 was done and the results were as follows: 1) Of all 196 patients, 35 patients had recurrences (17.9%). The recurrence rate of barium reduction was 18.8%, that of manual reduction was 5.9% and the recurrence after the recurrence after the bowel resection was absent. Most recurrence was occurred within 6 months interval (80% of 1st recurrence, 94.5% of 2nd recurrence). 2) The ratio of male to female was 1.8:1. In the recurred cases, it was 2.5:1. 3) 89.7% of patients were under 2 years of age, and the peak incidence was noticed between 4 mo. and 12 mo. of age (70%). In the recurred cases, 94.3% of patients had initial attack before lyr of age. 4) The most prevalent season was the spring. But difference among seasonal incidence was nonspecific. 5) On growth percentile related to body weight of Korea normal infants, 59.2% of overall cases and 65.7% of recurred patients were over 50th percentile. 6) The history of preceding illness was observed in 21.5% of cases. 7) The etiology was unknown in most cases (91.8%). 8) The most common clinical symptoms and signs were periodic irritability and abdominal pain (94.8%), vomiting (84.1%), abdominal mass(78.1%) and bloody stool (73.4%). 9) The time interval to admission after onset of symptoms were as follows: with 12 hrs-56.2%, within 24 hrs-81.5%. 10) Anatomic types of intussusception demonstrated by barium enema and operation were iliocolic 52.8%, iliocecal 41.6%, ilioiliocolic 2.15% and ilioiliocecal, 1.3%. 2.15% had spontaneous reduction. 11) The success rate by barium reduction was proportionally increased to time interval for admission after onset of symptoms. Overall success rate was 91%. 12) Complication except recurrence was occurred in 4.7% of cases. There was no death.
Key Words: Intussusception


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