Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Clinical Manifestations of Childhood Intussusception with Ubiquitous Ultrasonography -Comparison with Small Bowel and Ileocecal Type-

복부 초음파 검사 보편화 시대의 소아 장중첩증의 임상적 고찰 - 소장형과 대장형의 비교 -

  • Kim, Wan-Sung (Department of Surgery, Myongji Hospital, Kwandong University College of Medicine) ;
  • Jeong, Jin-Ho (Department of Surgery, Myongji Hospital, Kwandong University College of Medicine) ;
  • Lee, Jong-Hoon (Department of Surgery, Myongji Hospital, Kwandong University College of Medicine) ;
  • Park, Jae-Kun (Department of Surgery, Myongji Hospital, Kwandong University College of Medicine) ;
  • Moon, Hyoun-Jong (Department of Surgery, Myongji Hospital, Kwandong University College of Medicine) ;
  • Shin, Hyuk-Jai (Department of Surgery, Myongji Hospital, Kwandong University College of Medicine) ;
  • Lee, Jong-In (Department of Surgery, Myongji Hospital, Kwandong University College of Medicine)
  • 김완성 (관동대학교 의과대학 명지병원 소아외과) ;
  • 정진호 (관동대학교 의과대학 명지병원 소아외과) ;
  • 이종훈 (관동대학교 의과대학 명지병원 소아외과) ;
  • 박재균 (관동대학교 의과대학 명지병원 소아외과) ;
  • 문현종 (관동대학교 의과대학 명지병원 소아외과) ;
  • 신혁재 (관동대학교 의과대학 명지병원 소아외과) ;
  • 이종인 (관동대학교 의과대학 명지병원 소아외과)
  • Received : 2010.12.24
  • Accepted : 2011.05.06
  • Published : 2011.06.30
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Abstract

We analyzed the clinical characteristics and outcome of ileocecal and small bowel intussusceptions (ICI and SBI) in the pediatric patients. From August 2003 to July 2010, 144 children with intussusception were included in this study. We retrospectively reviewed the clinical records and Imaging study findings. A total of 86 children with ICI and 58 children with SBI were diagnosed. Children with SBI were older than ICI ($36.6{\pm}24.6$ months vs. $24.2{\pm}21.6$ months, p=0.002). Typical symptoms such as irritability, abdominal mass, bloody stool were more frequent in ICI than SBI (p<0.05) patients. In the ICI group, intussusceptums were reduced with air reduction (84.5%), surgery (17.4%), and spontaneity (1.2%). All patients in the SBI group were reduced spontaneously. SBI occurred in older age and was reduced spontaneously more frequently than ICI. Conservative management with close observation with follow-up by ultrasonography is recommended for SBI.

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