| A Clinical Study of Recurrent Intussusception. |
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Hae Ok Kim, Jae Oh Kim, Jeong Woo Suk, Keun Chan Sohn |
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Department of Pediatrics,National Medical Center, Seoul, Korea |
| 재발성 장중첩증에 대한 임상적 관찰 |
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김혜옥, 김재오, 석정우, 손근찬 |
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국립의료원 소아과 |
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| Abstract |
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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 and compared with primary cases.
The results were obtained as follows 1 1. Overall, recurrent rate was 8.0%. Recurrent rates of postbarium reduction and surgical reduction were 9.6% and 6.6% respectively. Also recurrent rate after spontaneous reduction was 25.0% and no recurrence was noted after segmental resection. 2.The peak age of recurrent intussusception was between 5 to 8 months of age (31.3)followed by the age of 9 to 12 months(25.0%).
3.The average duration from primary attack to the first recurrent attack was 5.4 months, distributed from 1 hour to 15. months. 4. Sex ratio between primary cases and recurrent cases yielded slight male predominance
in recurrent cases. 5. Regarding the seasonal and annual incidence, weight percentile and previous diseases,
there noted no difference between primary and recurrent cases. 6. The most common etiologic factor was idiopathic; 82.0% of prmary cases and 90.7% of recurrent cases. Other local etiologic factors included mesenteric lymphadenitis, wandering cecum, peyer’s patch hyperplasia, and Peutz-Jegher syndrome. 7. Duration of symptoms before arrival at hospital in primary cases and recurrent cases were 27. 2 hours and 16. 8 hours respectively. 8. Symptoms in either case were same except spontaneous bloody stool, which was more
frequent in primary cases than recurrent cases as 84,.2% and 46.9% respectively. 9. Ileocolic type was most frequent in either case. 10. Barium reduction was successful in 56.3% of primary cases and 70.0% of recurrent cases. Death rate was 5.0% in primary cases and no death occurred in recurrent cases.
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| Key Words:
J Intussusception, recurrence |
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