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RISS 인기검색어
- 검색키워드
- 저자 : 허유창(Yu Chang Hur) (검색결과 1 건)
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허유창(Yu Chang Hur),이환봉(Whan Bong Lee),박길수(Gil Soo Park) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.6
N/A 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 fre- quent. In the method of operations, manual reduction was performed in 83.0% of cases, and bowel resection and anastomosis was performed in 14 cases. The causes of bowel resection were presence of leading points(10 cases), bowel gangrene(3 cases) bowel per- foration during the attempt of barium enema reduction(1 case). Absence of intuss usception 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 postopera- tive mortality. Delayed surgical intervention could necessitate bowel resection and pro- longed 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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