Clinical Evaluation of Recurrent Intussusception.
- Author:
Min Jae PARK
1
;
Doo Sun LEE
Author Information
1. Division of Pediatric Surgery, Department of Surgery, Dankook University College of Medicine, Cheonan, Korea.
- Publication Type:Original Article
- Keywords:
Intussusception;
Recurrence;
Pathologic lead point
- MeSH:
Barium;
Follow-Up Studies;
Humans;
Hyperplasia;
Intussusception*;
Recurrence
- From:Journal of the Korean Association of Pediatric Surgeons
2003;9(1):24-29
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To evaluate the clinical findings of the recurrent intussusception. 351 patients with 445 intussusceptions were reviewed. Recurrence rate, pattern of recurrence, reducibility, pathologic lead points (PLP), and operative findings and long term follow up of the multiple recurrences were analyzed. Of 351 patients, 303 had no recurrence, 26 had one recurrence, and 22 had multiple recurrences. Over all recurrence rate was 16.4% ; 18.5% were managed by air reduction, 16.2% by barium reduction and 5.9% by operation. Elven PLPs were proved operatively operatively and an additional 6 suspected PLPs were depicted radiologically. The most frequent PLP was ileal lymphoid hyperplasia. Intervals between reduction and recurrence were less than 2 weeks in 31 cases, between 2 weeks and 1 year in 55, and more than 1 year in 8. The longest interval was 2 years and 4 months.
