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KMID : 0375219990140000013
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Journal of Il Sin Christian Hospital
1999 Volume.14 No. 0 p.13 ~ p.20
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Intestinal Atyesia - A Survey by the Korean Association of Pediatric Surgeons -
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Kim In-Gu
Kim Sang-Yoon
Kim Shin-Gon
Kim Woo-Ki
Kim Jai-Eok
Kim Jae-Cheon
Kim Hyun-Hahk
Park Kwi-Won
Park Young-Sik
Park Woo-Hyun
Song Young-Tack
Yang Jung-Woo
Oh Soo-Myung
Yoo Su-Young
Lee Doo-Sun
Lee Myung-Duk
Lee Suk-Koo
Lee Sung-Cheol
Chang Soo-Il
Jung Sang-Young
Jung Sung-Eun
Chung Eul-Sam
Jung Poong-Man
Cho Ma-Hae
Choi Kum-Ja
Chio Soon-Ok
Choi Seung-Hoon
Heo Young-Soo
Hong Jeong
Hwang Eui-Ho
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Abstract
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A survey on the intestinal atresias was made among 34 members of Korean Association of Pediatric Surgeons. The response rate was 82.4%. Two hundred and fifteen patients from the January 1, 1996 to December 31, 1996 were analyzed. The lesions were 73 cases of duodenum(DA), 72 cases of jejunum(JA), 71 cases ileum(IA) and 2 cases cecum and sigmoid colon respectively. There were 2 cases of combined anomalies(DA + JA + IA and DA + JA), Male to female ratio was 1:1 in DA, and 1.8:1 in JA. Seventy·four cases(34.3%) were premature babies(DA 35.2%, JA:48.6%,
LA:19.2%), and 62 cases(28.7%) had low birth weight(DA:39.4%, JA:33.0%, IA:13.7%). Antenatal diagnosis was made in 92 cases(43.6%), However 22 cases(23.9%) of them were transferred to pediatric surgeon after delivery. Maternal polyhydramnios was observed in 63 cases(28.9%). Seventy·five cases(34.4%) were taken only simple abdominal film for diagnostic studies. The associated malformations were observed in 54 aresia and were observed more frequently in DA(35 cases, 47.9%). Meconium peritonitis due to intrauterine bowel perforation was more frequently associated with IA compared to DA and JA. The overall mortality rate was 30% (Abbreuations:Pt; p-value in total, PDJ,DI,JI ; P·value between two groups among duodenal, jejunal and ileal groups)
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KEYWORD
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Intestinal atresia, Duodenal atresia, Tejunal atresia, Ileal atresia.,
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