No abstract available.

No abstract available.
Emergencies* ; Emergency Service, Hospital*

PURPOSE: There have been few reports about common gastrointestinal diseases in children visiting emergency room. The aim of this study was to present basic data and their meanings about emergency room utilization in children with nonsurgical gastrointestinal disorders. METHODS: The authors prospectively studied 1,228 consecutive children with gastrointestinal diseases, amongst 6,179 nonsurgical pediatric patients who visited the emergency room of Seoul Red Cross Hospital from Jan. 1st 1998 to Dec. 31st 1999. RESULTS: 1) First visit was 60.7% of total visits and 30.7% were between 1 and 3 years of age while 80.4% were below 6 years of age. Male patients were predominant by a ratio of 1.3:1. 2) The peak month of visits was December (12.1%), and the peak time of visits was between 8:00 pm and midnight (35.9%). Average length of stay at emergency room of the total patients were 0.86 hour. 3) Five major diseases were acute gastroenteritis (44.3%), fecal impaction &/or constipation (21.3%), acute gastritis (16.4%), intussusception (4.6%), and infantile colic (4.3%) in order. 4) 19.6% of the total patients were hospitalized. CONCLUSION: There were differences in various distributions regarding each nonsurgical gastrointestinal disease entity in children visiting emergency room even though distributions of the total patients in our study were not so different from those in previous reports by others.
Child* ; Colic ; Constipation ; Emergencies* ; Emergency Service, Hospital* ; Fecal Impaction ; Gastritis ; Gastroenteritis ; Gastrointestinal Diseases ; Humans ; Intussusception ; Length of Stay ; Male ; Prospective Studies* ; Red Cross ; Seoul

We observed 240 cases ranging in age from 3 months to 15 years seen by gastrofiberoscopy in the department of pediatrics of Seoul Red Cross Hospital from March 1990 to October 1992 and following results were obtained. 1) The male to female ratios in total cases and in 89 patients complaining of abdominal pain for more than one month were 0.94:1 and 1.02:1 respectively. The most prevalent age group was 10~12 years in both groups. 2) The indication in the order of frequency were chronic abdominal pain (37.1%), acute abdominal pain (32.5%), vomiting (7.9%), hematemesis and melena (5.4%), follow-up study (6.3%), further evaluation (3.8%), chest discomfort (2.5%), foreign body removal (2.1%), nausea (1.2%), dysphagia (0.8%) and abdominal mass (0.4%). 3) The common endoscopic findings in the 225 cases excluding follow-up ones were gastritis (34.7%), duodenitis (14.2%), ulcer (11.6%), esophagitis (7.6%) and foreign body (2.2%). 4) The common endoscopic findings in cases of chronic abdominal pain were gastritis (42.7%), duodenitis (16.9%) and ulcer (7.9%). 5) There was no complication except mild sore throat.
Abdominal Pain ; Deglutition Disorders ; Duodenitis ; Esophagitis ; Female ; Follow-Up Studies ; Foreign Bodies ; Gastritis ; Hematemesis ; Humans ; Male ; Melena ; Nausea ; Pediatrics ; Pharyngitis ; Red Cross ; Seoul ; Thorax ; Ulcer ; Vomiting

No abstract available.
Humans ; Infant, Newborn*

No abstract available.
Child* ; Gastritis* ; Humans

A 4 years and 8 months old girl had accidentally swallowed coins while playing on sofa. She immediately complained of a painful sensation in her throat and chest. Radiograph of the chest at a local clinic showed the coins located at the gastroesophageal junction. She was admitted to our hospital 24 hours after the accident, when her physical examinatioa was normal and the coins failed to be moved. One hour thereafter, two coins(500 won and 50 won) were dislodged from the gastroesophageal junction witb biopsy forceps:on gastroendoscope (Olympus GIF-Q10). The following day, she was discharged without complicaitions.
Biopsy* ; Esophagogastric Junction* ; Female ; Humans ; Infant ; Numismatics* ; Pharynx ; Sensation ; Surgical Instruments* ; Thorax

No abstract available.
Abdominal Pain*

PURPOSE: Mycoplasma pneumoniae infection is relatively common in childhood. Its extrapulmonary manifestations have been reported so much, but hepatitis associated with it has not been studied yet until now in Korea. METHODS: We performed the prospective study of 19 cases that had AST and ALT>50 IU/L respectively without evidence of hepatitis A, B, C, cytomegalovirus, and Ebstein-Barr virus infections amongst 143 patients with M. pneumoniae pneumonia who were admitted to the Department of Pediatrics, Seoul Red Cross Hospital from Jan. 1999 to Dec. 2000. RESULTS: 1) Hepatitis occurred in 13.3% of Mycoplasma pneumoniae infection, especially in fall and winter times. The average age was 4.86 years and male to female ratio was 2.2 : 1. 2) Vomiting was developed in 21.1%, diarrhea in 36.8%, and hepatomegaly in 21.1%, respectively. And leukocytosis was noted in 21.1%, eosinophilia in 15.4%, anemia in 10.5%, and thrombocytosis in 5.3%, respectively. The average level of C-reactive protein was 6.34+/-4.82 mg/dl. 3) There was no hyperbilirubinemia, but hypoalbuminemia was detected in 42.1%. The average serum levels of AST and ALT were 214.05+/-183.22 IU/L and 284.16+/-286.84 IU/L, respectively. 4) Chest radiology showed lobar or lobular consolidation in 73.7%, bronchial infiltration in 26.3%, and pleural effusion in 31.6%. 5) The average length of hospitalization was 7.9 days, and the average length of normalization of serum transaminases was 8.8 days. All patients recovered within 2 weeks completely. CONCLUSION: The prognosis of M. pneumoniae hepatitis is good. However, its incidence is not so low that liver function should be considerately checked in case of M. pneumoniae infection.
Anemia ; C-Reactive Protein ; Child ; Cytomegalovirus ; Diarrhea ; Eosinophilia ; Female ; Hepatitis A ; Hepatitis* ; Hepatomegaly ; Hospitalization ; Humans ; Hyperbilirubinemia ; Hypoalbuminemia ; Incidence ; Korea ; Leukocytosis ; Liver ; Male ; Mycoplasma pneumoniae* ; Mycoplasma* ; Pediatrics ; Pleural Effusion ; Pneumonia ; Pneumonia, Mycoplasma* ; Prognosis ; Prospective Studies ; Red Cross ; Seoul ; Thorax ; Thrombocytosis ; Transaminases ; Vomiting

Subacute necrotizing lymphadenitis was first reported by Kikuchi and Fujimoto in 1972. Young females no more than 30 years of age are mainly affected. It usually manifests as fever and cervical lymphadenopathy. We experienced one case of subacute necrotizing lymphadenitis with hepatic complication in an 11-year-old boy. Symptoms presented were URI signs, diarrhea, headache, and weight loss along with fever and cervical lymphadenopathy. Elevated serum AST/ALT levels were also noted up to 682/1560 (IU/L) and were normalized within one month. We performed aspiration biopsy of the liver twice (at admission and 5 months thereafter). The hepatic histopathologic findings were nonspecific.
Biopsy, Needle ; Child ; Diarrhea ; Female ; Fever ; Headache ; Hepatitis ; Histiocytic Necrotizing Lymphadenitis ; Humans ; Liver ; Lymphadenitis ; Lymphatic Diseases ; Male ; Weight Loss