| A clinical review of intussusception. |
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Pyeong Rang Choo, Sun Jin Kim, Hyeon Suk Kim, Ho Cheol Shin, Eun Sook Park |
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| 장충첩증의 임상적 고찰 |
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추평랑, 김선진, 김현숙, 신호철, 박은숙 |
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가톨릭의과대학 가정의학과 |
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| Abstract |
Intussusception is the condition of one part of intestinal loop into the contiguous distal segment, which is the most important one of frequent and emergency surgical conditions in infancy and childhood.
The clinical study of 201 cases of intusussception, who were admitted to the department of Pediatrics and Surgery in the St. Vincent Hospital from January, 1986 to June, 1989 was carried out.
The following results were obtained.
1. Male were affected more often than female, the ratio was 2.3:1.
2. In age incidence 83.1% of the patients were under one year of age, and 96.1% of the patients were under two years of age.
3. In birth order the first order was more frequent than others.
4. The incidence(62.2%) in spring and summer were higher than that in other seasons.
5. Etiologic cause were found only in 11.9% of the cases, and rest of them(88.1%) were not determined.
6. The cardinal symptoms and signs were periodic irritability(86%), vomiting(79.6%), current jelly stool(77.1%), and palpable abdominal mass(61.2%).
7. The patients who visited hospital within 24hrs after onset of symptoms was occupied 77.6%.
8. The previous history of associated disease was found in 40.3% of cases.
9. About peripheral blood leukocyte count on admission, 66.7% of the cases showed leukocytosis(WBC count>10000/mm³)
10. The X-ray findings of simple abdomen showed the absence of colon gas with gaseous dis tension of bowel(77.6%), and air-fluid levels(17.4%).
11. Anatomic types of intussusception demonstrated by operation and Reoentgenographic ally were ileocolic(44.3%), ileocecal(33.8%), ileoileocolic(75) in order of frequency.
12. The success rate managed by barium reduction before operation was 72% of the cases.
13. Complications of surgical management were in 11.9%, recurrent rate was 11.4% and death rate 0%. |
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