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RISS 인기검색어
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- 저자 : 곽우근(Woo Kun Kwak) (검색결과 1 건)
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이성(Sung Lee),임근우(Keun Woo Lim),곽우근(Woo Kun Kwak) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.6
N/A This is a retrospective study of 25 adults with intussusception, admitted to the branches of CUMC from 1985 to 1991. Intussusception was occured over 35 years of age in the 72% and and the sex incidence was (male: female) 1.8:l. In the symptom duration, 52% of paticnts wore below 7 days and the remained 48% were over 7 days. The clinical symptoms and signs were intermittent abdominal pain (96%), nausea and vomiting (60%), tenderness (48%), diarrhea (28%), abdominal mase (20%), fever (16%), weight loss(16%), abdominal distension (12%) and bloody stool (4%). Ileocolic type. including ileocecal type, was most common (52%) and the ileoileal type was followed (28%). The colocolic type was 12% and the jejunojejunal type was 8%. The prediaposing factors were found in 88% and idiopathic type was 12%. Among them, benign neoplasm was 28%, malignant neoplasm was 40%, and other causes were Meckel's diverticulum, inflammation, and postoperative adhesion. Resection was performed in the 96%. Postoperative complications were wound infection, pneumonia, and acute renal failure. Postoperative death was 1 case and it's cause was acute renal failure. This results indicate that the intussusception in adults has leading cause in 88% and benign and malignant neoplasm are the main CAUSC. In older age, the percentage of malignancy is increased. So early surgical intervention is recommended.
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