Clinical Study of Intussusception in Childhood (1967.1~1977.8.)

An analysis presented 86 cases of intussuscetion in Korean infants and children, treated at the Department of Pediatrics and the Surgery, Ewha Woman's University Hospital from January 1, 1967 to August, 1977, The following findings were noted. 1) The male outnumbered the females nearly 2.1/1. 2) In our survey, 82.5% of 86 patients were 1year or gounger and the peak incidence was between the 3 rd and 6th month of life (40.8%). 3) Seasonal distribution revealed as the highest in spring.(34.9%). 4) Thirity-seven cases(55.2%) of the intussusception were idipoathic. In 30 cases, a local cause was demonstrated. A wandering cecum was pesonted in 14 patients(20.9%) and proved to be the most common local cause. 5) It is significant that 58 cases(67.4%) of the patients were treated within 24 hours after onset of symptoms. However, seven patients(8.1%) had symptoms for more than 72 hours prior to hospital admission. 6) Vomiting and bloody stool were most common clinical signs(87.2% and 75.6%). Others were colicky abdominal pain (72.1%) and abdominal mass(50.0%). The positive results on the rectal exmination was 91.9 percent. 7) The demonstrable anatomic type of intussusception was ileocecal (38.4%) and proved to be the most common type. In addition to this type, there ileoclic(33.7%), ileocecocolic(11.6%), ileoileocolic(7.0%), ileoileal (5.8%), ileoileocecal(2.2%) in orders. 8) Simple abdomen X-ray on admission showed gaseous distension(45.5%). No specific findings were noted in 8 cases(12.1%) of the patients. 9) Nineteen (22.2%) of the patients underwent barium reduction and remainder were treated by surgical reduction. There were 58 patients(67.4%) who required manual reduction lreduction and 9 cases(10.4%) by intestinal resection for definitive therapy. 10) There were complications in 11.7 percents of the patients. The recurrence was 5 cases(5.8%) and proved to be the common complication. No deaths was encountered in our small series.

Clinical Study of Acute Diarrhea in Infants and Children

Diarrhea is one of the most common symptoms evaluated by pediatrician. In a study of 671 children admitted to the diarrhea from Jan. 1970 to Dec. 1976. The results are summarized as follow 1) Diarrhea patients were total 671 cases(7.7%) among 8711 children who were admitted during last 7 years from Jan. 1970 to Dec. 1976. There was no significant difference in annual incidence. 2) Monthly incidence revealed in summer(Jun. July) and autumn (sep.Oct) frequently. 3) Age incidence showed the highest rate between 6 month to 2 year of age(52.2%). 4) Sex incidence showed that male to female in a proportion of 1.5:1. 5) potential etiologic agents were identified 332 of 671 children with diarrhea: E. coli 21.0%, shigella 7.0%, ameba 7%. In the majority of cases(31.89%) the etiologic agents were not found. 6) Infection in other parts of the body were recorded in 123 cases(18.64%) including common cold, bronchits, pneumonia measles, tonsillits. 7) Initial symptoms of the diarrhea patients were fever, vomiting, abdominal pain, tenesmus, neurologic symptoms. 8) The nature of stool was blood tinged mucoid in shigella, watery and granular stool are associated with enteropathogenic E.coli of Parenteral diarrhea. 9) Most effect chemotherpeufic agent of shigella was ampicillin, and gentamycin was considerable effectiveness against E.coli, with 76.2% showing susceptibility to gentamycin.