All issues > Volume 32(10); 1989

Original Article

J Korean Pediatr Soc. 1989;32(10):1353-1359. Published online October 31, 1989.

Comparison Study of Initial and Recurrent Intussuception in Children.

Eun Kyoung Sohn¹, Byoung Soo Cho¹, Sung Ho Cha¹, Chang Il Ahn¹, Soo Myung Oh²

¹Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea
²Department of Pediatric Surgery, College of Medicine, Kyung Hee University, Seoul, Korea

Received: March 8, 1989;  Accepted: June 15, 1989.

Abstract

We performed statistcial evaluation on initial intussusception, 426 cases,and recurrent intussuscep- tion, 40 cases (28 children), recurred more than one time among 426 cases of initial intussusception which were managed in the depratment of pediatrics and the department of pediatric surgery at Kyung Hee University Hospital from Jan. 1983 to Dec. 1987. The results were as follows: 1) The peak incidence was found in less than one year old in both groups: initial cases: 80.5%, recurrent cases: 68.6%. 2) The recurrence rates were 7.5% in males and 10.5% in females. Overall recurrence rate was 8. 6%. 3) Ileocolic intussusception was the most common type in the both groups: initial cases: 49.3%, recurrent cases: 35% 4) Previous history of associated disease was found in 50.5% of the initial cases and in 55% of recurrent cases. 5) Recurrence occurred most frequently within 7 months after initial cases (77.5%). 6) Operative reduction in initial cases (31.7%) was more than that in recurrent cases (17.5%). So it was suggested that in recurrent cases the bowel had the tendency of intussusception and it was reduced easily by barium enema, compared with initial cases. 7) The recurrence rate of barium reduction was 10.5% and that of operative reduction was 3.6%.

Keywords :Intussusception