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KMID : 0371320040660030190
Journal of the Korean Surgical Society
2004 Volume.66 No. 3 p.190 ~ p.193
Non-traumatic Small Bowel Perforation
Song Keun-Yeong

Kim Kyung-Jong
Jang Jeong-Hwan
Kim Kweon-Cheon
Min Young-Don
Kim Seong-Hwan
Jo Hyun-Jin
Abstract
The majority of small bowel perforations are caused by an abdonminal trauma. However, non-traumatic causes should not be ignored. The etiology of a non-traumatic small bowel perforation is varies and has chronological characteristics. This retrospective study was undertaken to investigate the chronulogical changes in non-traumatic small bowel perforations over the past twenty years, according to the clinical features, surgical methods, and the prognosis of those with a non-traumatic small bowel perforation. The results of this study showed that the incidence of a bacterial enteritis induced small bowel perforation has significantly decreased, and inflammatory bowel disease or collagen disease has become the major causes of a non-traumatic small bowel perforation. Moreover, geriatric patients over 70 years of age are more vulnerable to a non-traumatic small bowel perforation.
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