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Korean Journal of Pediatrics 2008;51(5):500-505.
Published online May 15, 2008.
Clinical features of transient small bowel intussusception in children
Ji Seung Heo1, Eun Min Seo1, Eun Jung Shim1, Do Jun Cho1, Dug Ha Kim1, Ki Sik Min1, Ki Yang Yoo1, Kwan Seop Lee2
1Departments of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
2Departments of Radiology, College of Medicine, Hallym University, Seoul, Korea
소아에서의 일과성 소장형 장중첩증의 임상적 고찰
허지승1, 서은민1, 심은정1, 조도준1, 김덕하1, 민기식1, 유기양1, 이관섭2
1한림대학교 의과대학 소아과학교실
2한림대학교 의과대학 영상의학과학교실
Correspondence:  Ki Sik Min,
Email: hjs3310@naver.com
Abstract
Purpose
: We analyzed the clinical features, management and outcome of small bowel intussusception in children compared with ileocolic intussusception.
Methods
: We retrospectively reviewed the records of 210 children with documented intussusception, in whom intussusception was initially diagnosed by ultrasonography during the four-year period of 2002 to 2005.
Results
: A total of 191 children were diagnosed with ileocolic intussusception and 19 were diagnosed with small bowel intussusception. Children with small bowel intussusception were older than children with ileocolic intussusception (P<0.05). In comparison to patients with ileocolic intussusception the characteristic presenting symptoms춖uch as currant jelly stool and palpable mass춛ere rarely observed in patients with small bowel intussusception. In ileocolic intussusception, air reduction (92.2%), or surgical reduction (7.3%) was performed; however, in small bowel intussusception, spontaneous reduction (78.9%) was observed and no surgical reduction was required in our study.
Conclusion
: Conservative management with close observation and follow-up sonographic evaluation rather than an immediate operation is recommended for children with small bowel intussusception.
Key Words: Small bowel, Intussusception, Children


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