The Clinical Features of Patients Requiring Surgical Treatment for Pediatric Intussusception

The Clinical Features of Patients Requiring Surgical Treatment for Pediatric Intussusception

Creators Kuga Takayuki

Creators Inoue Takashi

Creators Taniguchi Satoshi

Creators Zempo Nobuya

Creators Esato Kensuke

Abstract Purpose : This study was conducted to examine the clinical features of pediatric intussusception requiring surgical treatment. Patiants and Methods : Between January 1, 1989 and Jane 30, 1999, a total of 140 children with intussusception were referred to Yamaguchi University Hospital, 13 (9.3%) of whom underwent surgical treatment. The age, sex, duration of symptoms and signs, type of intussusception, lead points, and other clinical features were examined. Result : The median age of onset was 1 year and the median duration of symptoms was 21 h. Ileo-ileo-colic, ileo-colic, and ileo-ileo type intussusception were present in 6(46.2%), 7(53.8%), 1(7.7%), and 1(7.7%) patiants (23.1%) underwent bowel resection for bowel necrosis or lead points. Conclusion : Pediatric intussusception necessitating surgical treatment was often associated with accompanying appendiceal intussusception or a marked ileocecal band, or both, apart from organic lesions.

[ISSN]0513-1812

[NCID]AA00594272