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KMID : 0378119900170020437
Chungnam Medical Journal
1990 Volume.17 No. 2 p.437 ~ p.442
A Clinical Analysis of Intussception in Children


Abstract
Intussusception is a common cause of intestinal obstruction in the infants and most often observed in babies between 8 and 12 months of age.
A clinical analysis was made in 69 children with intussusception who has been treated during 5 years and 11 months from January 1985 through November 1990 in the Department of Surgery, Chungnam National University Hospital.
The results were as follows£º
1. The sex ratio of male to female was 2£º1.
2. As to the age distribution, 82.6£¥ of all patients was occured during 1st year of life, and 60.8£¥ of all was between the third and ninth month.
3. As to the clinical manifestations, vomiting was most frequent(79.7£¥), followed by abdominal pain(71.0£¥), bloody-mucus stool(66.7£¥) and palpable abdominal mass (50.7£¥) in order of frequency.
4. Overall success rate of reduction by barium enema was71.0£¥, and it was decreased with the passage of time, i.e. 90£¥ within 12 hours, 89£¥ within 24 hours, 80£¥ within 48 hours, and 25£¥ later than 72 hours.
5. Body temperature or WBC count was not determinants about the management or outcome of intussusception.
6. Laparotomy was undertaken in 29£¥ of all cases, in whom 70£¥ was managed by manual reduction and resection was performed in 30£¥ of cases.
7. As to the anatomical types in operation group, ileoileal type was most frequent, followed by ileocecal, ileocolic and ileoileocolic type.
8. The complications were present in four cases(5.8£¥) and there was no death.
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