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KMID : 0371320020630010063
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Journal of the Korean Surgical Society
2002 Volume.63 No. 1 p.63 ~ p.68
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Risk Factors of Bowel Resection on Intussusception
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Kwon Dae-Seong
Park Chan-Il
Kim Byung-Seok
Moon Duk-Jin
Park Joo-Seok
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Abstract
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Purpose: Intussusception is one of the most common causes of childhood intestinal obstructions. Early diagnosis is essential to avoid treatment delays, which can increase morbidity and mortality. In this study, authors have tried to analyze
the
risk factors associated with intussusception in infants and children to establish an early diagnosis to prevent unwanted outcomes.
Methods: We reviewed 44 cases involving operations for childhood intussusception from 1997 to 2001. These were divided into two groups and compared retrospectively using medical records. Group Ⅰ included 34 cases of manual reduction
(77.3%), and
group Ⅱ consisted of 10 cases of bowel resection (22.7%).
Results: There were no significant differences in age, sex, and clinical symptoms between the 2 groups. The anatomic location of the intussusceptum, and fever seemed to vary, but this was of no statistical significance. Factors
significantly
contributing to increase in the rate of bowel resection were the duration of the symptoms (more than 48 hours), and the leukocyte count (more than 15,000/㎣).
Conclusion: This study revealed that only the duration of symptom and the leukocyte count contributed to an increase in the rate of bowel resection. Further prospective studies would be needed to reveal more risk factors to accurately
predict the
prognosis of the disease.
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KEYWORD
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