All issues > Volume 31(9); 1988

Original Article

J Korean Pediatr Soc. 1988;31(9):1146-1152. Published online September 30, 1988.

A Comparative clinical study of Intussusception with Barium or Surgical Reduction.

Hyeon Soo Lee¹, Chang Ho Hong¹, Ki Sub Chung¹, Sung Gyu Lee¹, Ki Gun Oh², Sung Guk Sohn³

¹Department of Pediatrics, Yonsei University, College of Medicine, Seoul, Korea
²Department of Radiology, Yonsei University, College of Medicine, Seoul, Korea
³Department of Surgery, Yonsei University, College of Medicine, Seoul, Korea

Received: April 27, 1988;  Accepted: April 27, 1988.

Abstract

A chinical study was performed on 294 cases of intussusception in infants and children, who were admitted to the Department of Pediatrics, Yong Dong Severance Hospital from January, 1983 to December, 1986. 240 cases were treated by barium reduction, were analysed clinically and were compared with 54 cases treated surgrally. The results were as followed: 1) As for the peak incidence of intussusception, 30.4% of the patients with intussuception treated by barium reduction and 53.9% treated surgically were younger than 6 months of age. Patients 4 to 36 months of age accouted for 88.4% of the total patients. 2) The percentage of patients admitted within 24 hours of the onset of symptoms was 85.8% in the barium reduction group ； and 14.8% of the total patients. 3) Symptoms and signs which were more frequently observed in the surgically treated group than in the barium reduction group included abdominal mass in the epigastrium, currant—jelly stool and abdominal distension. 4) Simple abdominal X—ray findings which were more predominant in the surgical group than in the barium reduction group included gaseous distension and fluid levels. 5) The most common type of intussusception was the ileocolic type which was 90.4% in the surgical group and 44.4% in the barium reduction group. But the ileoileal type including the ileoileocolic and ileoileocecal type, was more frequent in the surgical group (42.6%) than in the barium reduction (2.1%). 6) Of the 294 patients with intussusception, barium reduction was performed successfully in 240 cases (81.6%). The recurrence rate of intussusception was 15.0% in the barium reduction group and 7.4% in the surgical group. 7) Of the 240 patients who had been reexamined by a barium enema, 13(5.4%) had causes of intussusception and 9 of them (69.2%) were ascribed to lymphoid hyperplasia of the distal ileum. 8) The most common pathologic findings in the surgical group was reactive hyperplasia of the lymphoid tissue which was observed in 44 of the 54 cases (81.5%).

Keywords :Intussusception