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Intussusception in Infancy and Childhood——210 cases——

Journal of the Korean Pediatric Society 1972;15(11):1016-1025.
Published online November 30, 1972.
Intussusception in Infancy and Childhood——210 cases——
Chang Joo Cho1, Pyung Kil Kim1, Duk Jin Yun1, Eui Ho Hwang2, Choon Kyu Kim2, Kyu Chui Whang2
1Department of Pediatrics, Yonsei University College of Medicine Seoul, Korea
2Department of Surgery, Yonsei University College of Medicine Seoul, Korea
小兒 題重壘症 의 臨床的 觀察- 210 例관찰-
書昌周1, 金怲吉1, 尹德鎭1, 黃穀治2, 金春窒2, 黃圭哲2
1延世大學校醫科大學 小兒科學敎室
2延世大學校醫科大學 外科學敎室
Abstract
Intussusception is most frepuent and important surgical condition in infancy and chilchood. This clinical studies consist of 210 cases who were admitted to the department of pediatrics and surgery of Severance Hospital from Jan. 1957 to Dec. 1971. 1) In age incidency, 68. 8% of the patients are under one year of age. The peak incidence occurs from 4th to 9th month. 2) Males are more often affected than females. Male to female ratio was 2. 2 : 1 in our series. 3) In seasonal incidency, spring and winter are provalent (60%). 4) Etiologic causes were 83. 3% of idiopathic and 16. 7% of demonstrable causes in childhood. 5) In analysis of anatomical type, the most common type is ileocecal type (50. 5%). ileocolic was 34. 5%, colocolic was 6. 5%, ileocecal was 5. 7%. 6) The cardinal symptoms and signs were vomiting (88%), current jelly stool (79. 5%), abdominal pain (76. 2%), and palpable abdominal mass (58. 6%). 7) In our series of 210 cases, we treated to reduce the 71 cases (33. 8%) of intussusception with hydrostatic pressure reduction. Operative manual reduction was 100 cases (47. 6%), and segmental resection was 38 cases (18.1%). 8) Complication rate was 10. 4% and recurrent rate was 3. 3%. 9) Our mortality rate in 210 cases of intussusception was 3. 8%.


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