Advances in pediatric surgery
- Volume 7 Issue 2
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- Pages.126-129
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- 2001
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
Lead-points in Childhood Intussusception
유발병변을 동반한 소아 장중첩증
- Lee, Kwan-Ju (Department of Surgery, Catholic University Medical College) ;
-
Chung, Jae-Hee
(Department of Surgery, Catholic University Medical College) ;
- Hong, Min-Kwang (Department of Surgery, Catholic University Medical College) ;
- Won, Yong-Sung (Department of Surgery, Catholic University Medical College) ;
- An, Chang-Hyeok (Department of Surgery, Catholic University Medical College) ;
- Song, Young-Tack (Department of Surgery, Catholic University Medical College)
- 이관주 (가톨릭 대학교 의과대학 외과학교실) ;
-
정재희
(가톨릭 대학교 의과대학 외과학교실) ;
- 홍민광 (가톨릭 대학교 의과대학 외과학교실) ;
- 원용성 (가톨릭 대학교 의과대학 외과학교실) ;
- 안창혁 (가톨릭 대학교 의과대학 외과학교실) ;
- 송영택 (가톨릭 대학교 의과대학 외과학교실)
- Published : 2001.12.30
Abstract
Childhood intussusception is usually idiopathic, and pathological lesions as the leading point are found in limited cases. Sixteen operative cases with leadpoints among 2,889 cases of childhood intussusecption treated at the surgical departments of the affiliated hospitals of Catholic University over 19 years are reviewed. The approximate incidence of pathological lesions as the leading point was 0.6%. The male to female ratio was 2:1. The mean age was 3.5 years. There was not an age preponderance. The symptoms were vomiting(63%), abdominal pain(38%), irritability(38%), bloody stools(25%), fever(25%) and abdominal mass(6%). The average duration of the symptoms was 2.4 days(1-10days). The most common lesion was Meckel's diverticulum, followed by malignant lymphomas, polyps, ectopic pancreas, and cecal duplication. An ileocolic type was most frequent, followed by ileoileocolic and ileoileal. Segmental resection or wedge resection of the ileum was done in 10 cases, ileocecectomy in 3, and right hemicolectomy in 3. Surgical reduction was done only in an ectopic pancreas, with no later recurrence. The average hospital stay was 10 days. Postoperative adhesive ileus occurred in two cases, and in one of them adhesiolysis was performed. One case of malignant lymphoma died at 28 days after surgery due to chemotherapy related complication.