All issues > Volume 33(4); 1990

Original Article

J Korean Pediatr Soc. 1990;33(4):456-462. Published online April 30, 1990.

A clinicostatistical Study of Congenital Intestinal Obstruction.

Min Young Lee¹, Young Sook Hong¹, Se Jin Kang¹, Soon Kyum Kim¹, Pyung Hwa Choe¹

¹Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea

Received: September 28, 1989;  Accepted: November 6, 1989.

Abstract

A clinicostatistical assessment of the 134 patients with congenital intestinal obstruction who were admitted to the department of pediatrics and pediatric surgery. Korea university medical center from Feb. 1979 to June. 1988 was performed. The results were as follows. 1) Congenital hypertrophic pyloric stenosis (43 cases) was the' most common congenital intestinal obstruc- tion, and congenital megacolon (24 cases), imperforate anus (23 cases), omphalocele (11 cases), diaphragmatic hernia (9 cases), malrotation (7 cases), atresia or stenosis (6 cases), esophageal atresia with tracheoesophageal fistula (6 cases), gastroschisis (2 cases), Meckefs diverticulum (2 cases), congenital band (1 cases) were in order of frequency. 2) Male was predominant than female in proportioin of 2'5:1 3) Regional distribution showed that 81 cases were obstruction in large intestine and 49 cases were in small intestine. 4) Prevalence of age was as follows; under the 6 mo of age (82.1%), 7—12 mo of age (4.5%), 2〜5 yr age (8.3%), 6〜 10 yr of age (3.7%), over 10 yr of age (1.5%). 5) The main symptoms and signs were vomiting (53.7%), abdominal distension (29.1%), difficulty of defecation (21.6%), dyspnea (7.5%). 6) Overall mortality rate was 5.2% (7 out of 134 cases).

Keywords :Congenital Intestinal Obstruction