All issues > Volume 36(4); 1993

Original Article

J Korean Pediatr Soc. 1993;36(4):521-527. Published online April 15, 1993.

Factors Related to the Outcome of Treatment of the Intussusception in Children

Young Joon YJ Kim¹, Chan-Yung CY Kim¹

¹Department of Pediatircs, College of Medicine, Pusan National University, Pusan, Korea

Abstract

A statistical study was undertaken in 253 cases of intussusception treated in Pediatrics and General Surgery Departments in Pusan National University Hospital from January 1985 to December 1990. To investigate guidelines for the choice of the treatment and the outcome in intussusception, 10 factors related to the outcome of the treatment were analyzed. The results of study were as follow; 1) When patients treated by barium reduction (Group A) compared with patients treated as surgically (Group B, C, D), duration of symptoms of more than 48 hours, small bowel obstruction, ileocecocolic type and apex at or beyond splenic flexure were accepted as significant. When patients treated by bowel resection(Group D) compared with no resection(Group A, B, C), duration of symptoms of more than 48 hours, no abdominal patin or irritabiloty, small bowel obstruction, leukocytosis and apex at or beyond splenic flexure were significant. 2) In stepwise logistic regression analysis, duration of symptoms of more than 48 ours and small bowel obstruction contributed significantly to the prediction of failure of barium reduction. Patients with both 2 factors had a probability of failure of hydrostatic reduction of 93%. In the aspect of bowel resection, duration of symptoms of more than 48 hours, no abdominal pain or irritability and apex at or beyond splenic flexure were significantly accepted. Patients with all 3 factors had an estimated probability of bowel resection of 98%.

Keywords :Intussescrpyion