Risk Factors for Surgical Procedure on Ileo-Colic Intussusception in Children

Sin-Hwe Kim; Soo-Min Jung; Jong-In Lee

doi:10.13029/jkaps.2016.22.1.10

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Risk Factors for Surgical Procedure on Ileo-Colic Intussusception in Children

Sin-Hwe Kim¹, Soo-Min Jung², Jong-In Lee¹

Journal of the Korean Association of Pediatric Surgeons 2016;22(1):10-13.
Published online: June 30, 2016

DOI: https://doi.org/10.13029/jkaps.2016.22.1.10

¹Department of Surgery, Bundang CHA Medical Center, CHA University, Seongnam, Korea.

²Department of Surgery, Konkuk University Medical Center, Konkuk University College of Medicine, Seoul, Korea.

Correspondence: Jong-In Lee, Department of Surgery, Bundang CHA Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea. Tel: +82-31-780-5000, Fax: +82-31-780-5266, gslji@chamc.co.kr

• Received: June 7, 2016 • Revised: June 16, 2016 • Accepted: June 17, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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ABSTRACT
NOTES
REFERENCES

ABSTRACT

Purpose
The aim of this study was to analyze of the risk factors for surgical procedure on ileo-colic intussusception without leading point in children.
Methods
We retrospectively reviewed medical records of patient treated for ileo-colic intussusception between January 2003 and December 2014. We exclude the patients who had leading point. Because of the large difference on patient's numbers between non-operative group (cases of ileo-colic intussusceptions successfully reduced by air reduction) and operative group (cases underwent operation due to failed air reduction), we compared the data of operative group of patients without leading point between 2003 and 2014 with the data of non-operative group as control group from 2013 to 2014. Clinical features such as gender, age, body temperature, body weight in diagnosis, growth curves for age-gender-body weight, and laboratory data of blood test were compared.
Results
In non-operative group, total 94 patients who were treated successfully by the non-operative air reduction. In operative group, total 21 patients treated by surgical procedure. The age under 12 months, weight over upper 75 percentile group, increased segment neutrophil count, decreased hemoglobin level and lymphocyte count were significantly associated with a requirement for surgical procedure.
Conclusion
We conclude that younger age, higher weight percentile group, increased segment neutrophil, decreased hemoglobin and lymphocyte are the independent risk factors related to operative treatment for ileo-colic intussusception in children. If primary air reduction is failed in patients with such risk factors, operative treatment over ultrasonography or secondary reduction can prevent unnecessary effort and complications, thus emphasizing the consideration of operative treatment when selecting treatment methods.
Keywords: Intussusception; Ileo-colic; Air reduction; Surgery; Children

NOTES

No potential conflict of interest relevant to this article was reported.

REFERENCES

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8. Kim YJ, Kim CY. Factors related to the outcome of treatment of the intussusception in children. J Korean Pediatr Soc 1993;36:521-527.
9. Park BC, Kim SY, Jung SJ. A comparative analysis of clinical features and treatment outcomes of intussusception according to age distribution. Korean J Pediatr Gastroenterol Nutr 2005;8:150-156.
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12. Katz M, Phelan E, Carlin JB, Beasley SW. Gas enema for the reduction of intussusception: relationship between clinical signs and symptoms and outcome. AJR Am J Roentgenol 1993;160:363-366.
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Table 1

Results of Statistical Analysis between Two Groups

Values are presented as n only or n (%).

Table 2

Pathologic Leading Points Found in Excluded 6 Cases among 27 Operative Cases

Figure & Data

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Henoch-Schönlein Purpura Presenting as Intussusception
Keun Young Kim
The Korean Journal of Gastroenterology.2017; 69(6): 372. CrossRef

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Risk Factors for Surgical Procedure on Ileo-Colic Intussusception in Children

J Korean Assoc Pediatr Surg. 2016;22(1):10-13. Published online June 30, 2016

DOI: https://doi.org/10.13029/jkaps.2016.22.1.10

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Risk Factors for Surgical Procedure on Ileo-Colic Intussusception in Children

J Korean Assoc Pediatr Surg. 2016;22(1):10-13. Published online June 30, 2016

DOI: https://doi.org/10.13029/jkaps.2016.22.1.10

Risk Factors for Surgical Procedure on Ileo-Colic Intussusception in Children

Table 1

Results of Statistical Analysis between Two Groups

Values are presented as n only or n (%).

Table 2

Pathologic Leading Points Found in Excluded 6 Cases among 27 Operative Cases

Table 1 Results of Statistical Analysis between Two Groups

Values are presented as n only or n (%).

Table 2 Pathologic Leading Points Found in Excluded 6 Cases among 27 Operative Cases

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Risk Factors for Surgical Procedure on Ileo-Colic Intussusception in Children

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ABSTRACT

NOTES

REFERENCES

Results of Statistical Analysis between Two Groups

Pathologic Leading Points Found in Excluded 6 Cases among 27 Operative Cases

Figure & Data

References

Citations

CITE

Download Citation

Format:

Include:

Results of Statistical Analysis between Two Groups

Pathologic Leading Points Found in Excluded 6 Cases among 27 Operative Cases

Table 1

Table 2

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