|
KMID : 1148020150400030124
|
|
조선대학교의대논문집
2015 Volume.40 No. 3 p.124 ~ p.128
|
|
|
Predictive Risk Factors of Recurrent Ileocolic Intussusception after Successful Enema Reduction in Children
|
|
An Ki-Seup
Jo Sung-Min
Jang Hae-In
Cho Hyoung-Min
Kim Eun-Young
Kim Kyoung-Sim
Kim Yong-Wook
Lim Hyung-Kun
Kim Young
|
|
|
Abstract
|
|
|
|
The intussusception recurs in approximately 10 percent of children after successful nonoperative reduction. The main objective was to determine the clinical and sonographic findings that could be used to predict recurrence of ileocolic intussusception in children that had been successfully reduced by enema. A retrospective search was performed on 66 children, at age of 3 months to 7 years, with successful enema reduction of intussusception during a 2.5-year period from January 2013 to July 2015. The clinical, laboratory records, and sonographic findings were compared between recurrence of intussusceptions group (ROI) and non-recurrence group (NROI). Statistical significances were found in age (median, 26.0 vs 18.5 months; P =0.022) and terminal ileal wall thickening (mean, 10.23 vs 7.8 mm; p=0.002); in contrast, there was no significance considering gender, irritability (p=0.074), currant jelly stool (p=1.0), or C-reactive protein (p=0.908). Recurrence is associated with age and the thickening of terminal ileal wall, but clinical or laboratory findings. Given the small number of cases, further studies should be conducted.
|
|
|
KEYWORD
|
|
|
Intussusception, Ileocolic, Recurrent, Children, Enema
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|