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KMID : 1148020180430020102
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조선대학교의대논문집
2018 Volume.43 No. 2 p.102 ~ p.104
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Evaluation of the Role of Steroids in Decreasing Early Recurrence of Acute Intussusception in Children
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Nam Myoung-Soo
Lee Hwoa-Rang
Jang Hae-In
Cho Hyoung-Min
Kim Eun-Young
Kim Kyoung-Sim
Kim Yong-Wook
Lim Hyung-Kun
Kim Young
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Abstract
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There are very few reports and limited evidence that premedication with steroids decreases early recurrence of ileocolic intussusception after a successful hydrostatic reduction. The purpose of this study was to examine the role of steroids in decreasing early recurrence of idiopathic intussusceptions. A retrospective review of children that underwent successful hydrostatic reduction was conducted. Two groups were identified: group 1 (38 cases) that received intravenous methylprednisolone (1 mg/kg/dose) on diagnosis or immediately after the reduction maneuver, and group 2 (59 cases) were not given. There were 60 boys and 37 girls ranging in age from 6 to 84 months. There were no statistical differences between the groups regarding age, sex, duration of symptoms and laboratory findings on admission. There was no significant difference (p=0.76) in the rate of early recurrent intussusception between the steroid group (15.8%, 6/38) and the non-steroid group (13.6%, 8/59). We found that premedication of children with idiopathic intussusception with methylprednisolone did not decrease early recurrence of idiopathic intussusceptions.
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KEYWORD
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Recurrence, Ileocolic, Intussusception, Children, Methylprednisolone
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