대한대장항문학회

Intussusception of the intestine is the part of a significant surgical disease of<br>childhood. The currently accepted therapy is to do hydrostatic reduction, followed by a<br>laparotomy, if necessary. To evaluate our results in treating this disease, 391 cases of<br>intussusception in infants and children admitted to the surgical and pediatric department<br>of 51. Francisco General Hospital from April 1985 to December 1989 were reviewed.252<br>of whom underwent successful reduction by barium enema(64.5%), 139 cases were<br>treated with laparotomy. Of these 139,131 were treated manually and 8 required<br>resection. No patients died.<br>In our experience, hydrostatic barium enema reduction is the treatment of choice for<br>intussusception during childhood, but laparotomy should be reserved for patient; air-fluid<br>level of simple abdominal X-ray with fever(92.5%), lethargy(81.1%) or abdominal<br>distension, and air-fluid level of simple abdomen with WBC count more than<br>15,000/mm<sup>3</sup>(87.5% ), air-fluid level of simple abdominal<br>X-ray with more than 24 hours of duration of illness(90% ). Intussusception of<br>ileoileal type and ileoileocolic type, filling defect on the follow-up barium enema, and the<br>apex position in the rectosigmoid colon should be treated by laparotomy.<br>