This article consists of a clinical analysis of 171 cases of intussusception treated at the Department of General Surgery and Pediatrics of Pusan Adventist Hospital, during a five year period from Jan. 1991. To Dec. 1995.
@ES The results were as follows:
@EN 1) On the age and sex distribution, the age incidence under 1 year old was the most common(73.1%), and male to female ratio was 1.48 : 1.
2) The seasonal variation was Autumn(35.1%), Spring(32.1%), summer(19.9%), and Winter(12.9%).
3) On the hematologic laboratory finding, 68% were revealed leukocytosis above 10,000/mm³in serum.
4) In etiology, idiopathic type was common(98.5%), and Meckel's diverticulum was rare(1.5%).
5) The frequent Symptoms and signs were abdominal pain and irritability(84.2%), bloody stool(83.6%), vomiting(80.7%), palpable abdominal mass(48.5%).
6) On comparison of barium reduction to methods of the operation in relation to duration of symptoms, within 12 hours was 81.4% : 15.7% and above 24 hours was 49% : 51%.
7) The common anatomical type of intussusception was ileo-colic type(36.9%), and the common types of bowel resection were ileoileo type and ileoileocolic type(80%).
8) The methods of the operation were manual reduction(53.8%), bowel resection(30.8%), and spontaneous reduction(15.4%).
9) Postoperative complications occurred in 10 cases; febrile convulsion 3 cases, wound infection 2 cases, and wound dehiscence, intestinal obstruction, pulmonary complication each 1 cases.
10) The overall recurrence rate was 5.3%(8 cases); 6.6%(7 cases) were after barium reduction, and 1.5%(1 cases) was after manual reduction.
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