Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Pathologic Lead Points in Childhood Intussusception

소아 장중첩증의 병리적 유발병변

  • Jang, Seon-Mo (Division of Pediatric Surgery, Department of Surgery, College of Medicine, Yeungnam University) ;
  • Kang, Su-Hwan (Division of Pediatric Surgery, Department of Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Jung-Hoon (Division of Pediatric Surgery, Department of Surgery, College of Medicine, Yeungnam University) ;
  • Huh, Young-Soo (Division of Pediatric Surgery, Department of Surgery, College of Medicine, Yeungnam University)
  • 장선모 (영남대학교 의과대학 외과학교실 소아외과) ;
  • 강수환 (영남대학교 의과대학 외과학교실 소아외과) ;
  • 이정훈 (영남대학교 의과대학 외과학교실 소아외과) ;
  • 허영수 (영남대학교 의과대학 외과학교실 소아외과)
  • Published : 2000.06.30
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Abstract

Pathologic lead points are found in a few intussusception patients. To evaluate the pathologic lead points in childhood intussusception, a retrospective review of 227 operated cases of intussusception treated at the Yeungnam University Hospital from January 1986 to April 1999. The patients were divided into 2 groups; idiopathic group 209 cases, (92.1 % and lead points group 18 cases, 7.9 %). Intussusception developed between age two months and six months in both groups. Enteroenteric type of intussusception was relatively more frequent in the lead point group than in idiopathic group. The lead points were veil (10 cases, 52.6 %), Meckel's diverticulum(3 cases, 15.8 %), lymphoma(3 cases, 15.8 %), ectopic pancreas(2 cases, 10.5 %), Henoch-Sch$\ddot{o}$nlein purpura(1 cases, 5.3 %). The bowel resection rate was 44.4 % in the lead point group and 8.6% in idiopathic group. The recurrence rate was 5.56 % in lead points group and 1.44 % in idiopathic group.

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