All issues > Volume 51(5); 2008

Original Article

Korean J Pediatr. 2008;51(5):500-505. Published online May 15, 2008.

Clinical features of transient small bowel intussusception in children

Ji Seung JS Heo¹, Eun Min EM Seo¹, Eun Jung EJ Shim¹, Do Jun DJ Cho¹, Dug Ha DH Kim¹, Ki Sik KS Min¹, Ki Yang KY Yoo¹, Kwan Seop KS Lee²

¹Departments of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
²Departments of Radiology, College of Medicine, Hallym University, Seoul, Korea

Correspondence Ki Sik KS Min ,Email: hjs3310@naver.com

Abstract

Purpose
: We analyzed the clinical features, management and outcome of small bowel intussusception in children compared with ileocolic intussusception.
Methods
: We retrospectively reviewed the records of 210 children with documented intussusception, in whom intussusception was initially diagnosed by ultrasonography during the four-year period of 2002 to 2005.
Results
: A total of 191 children were diagnosed with ileocolic intussusception and 19 were diagnosed with small bowel intussusception. Children with small bowel intussusception were older than children with ileocolic intussusception (P<0.05). In comparison to patients with ileocolic intussusception the characteristic presenting symptoms춖uch as currant jelly stool and palpable mass춛ere rarely observed in patients with small bowel intussusception. In ileocolic intussusception, air reduction (92.2%), or surgical reduction (7.3%) was performed; however, in small bowel intussusception, spontaneous reduction (78.9%) was observed and no surgical reduction was required in our study.
Conclusion
: Conservative management with close observation and follow-up sonographic evaluation rather than an immediate operation is recommended for children with small bowel intussusception.

Keywords :Small bowel, Intussusception, Children