Clinical analysis was performed on 178 cases of the intussuscepton treated at the Department of General surgery of Taegu Catholic university hospital from Jan. 1988 to Dec. 1993
@ES The results were as follows:
@EN 50 cases were treated by operation.(28.1%)
The intussusception was commonly occurred under 1 year of age(73%), and male to female ratio was 2.5 : 1.
There was no significant difference in seasonal distribution.
On the laboratory findings, 68.7% of all were revealed leukocytosis above 10,000/mm3 in serum.
On the etiology of the intussusception, idiopathic type was 94%, Meckel's diverticulum was 2%, and mesenteric lymphadenitis was 4%.
The preceding illnesses were upper respiratory infection(21.4%), and acute gastroenteritis (5.6%),but no definitive preceding illness was noted in 70.8%.
The symptoms and signs were vomiting(84.3%), abdominal pain and irritability(83.7%), bloody stool(72.5%), and palpable abdominal mass(40.4%) in order of frequency.
The most frequent type was ileocolic type(44%), and the next was ileoileocolic type(30%)
The overall success rate of the barium reduction was 71.9%. It was markedly decreased in the cases arrived at the hospital more than 48hours after onset of the symptoms.
The methods of the operation were manual reduction(92%), bowel resection(6%) and spontaneous reduction(2%).
The postoperative complications were developed in 5 cases(10%) and there was no death among 50 patients who were undergone operation.
The overall recurrence rate was 16 cases(9%), 14 cases(10.9%) were after barium reduction, and 2 cases(4%) were after manual reduction.
The recurrence occurred frequently within 6 months after reduction(68.7%), and first recurrence was the most frequent(62.5%).
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