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KMID : 0614619940260060919
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Korean Journal of Gastroenterology
1994 Volume.26 No. 6 p.919 ~ p.924
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Clinial Analysis of Intussusception
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Abstract
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One hundred cases of intussusception who were treated by surgical intervention at the department of general surgery. Eul Ji General Hospital, Seoul from 1987 to 1993 were reviewed. The majority of patients(84.0%) were under 1 year of age, and
more
than
half were between 3 and 5 months. Male to female sex ratio was 3 : 1. The most frequent symptom was abdominal pain(89.0%). Duration of symptom between 13 and 24 hours was most frequent(31.0%). Pathologic leading point was identified only in 16
patients(16.0%) and mesenteric lymphadenitis was the most common one. Ileocecal type was most frequent. In the method of operations, manual reduction was performed in 83.0% of cases, and bowel resection and anastomosis was performed was performed
in 14
cases. The causes of bowel resection were presence of leading points(10 cases), bowel gangrene(3 cases) bowel perforation during the attempt of barium enema reduction(1 cases). Absence of intussusception suggested spontaneous reduction at
laparotomy was
noted in three cases(3.0%). Post-operative complications were present in 8 cases(8.0%) and there was no postoperative mortality. Delayed surgical intervention could necessitate bowel resection and prolonged hospitalization. Accordingly a prompt
decision
for celiotomy or not should be made, after air enema or barium enema trial as indicated.(Korean J Gastroenterol 1994 ; 26 : 919-924)
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