성인 장중첩증의 원인 및 치료 방법
Etiology and Management for Adult Intussusception
박승원, 김희철, 조영규, 홍현기, 유창식, 김진천,
소속 상세정보
박승원 ( Park Seung-Won )
울산대학교 의과대학 외과학교실
김희철 ( Kim Hee-Cheol )
울산대학교 의과대학 외과학교실
조영규 ( Cho Young-Kyu )
울산대학교 의과대학 외과학교실
홍현기 ( Hong Hyun-Ki )
울산대학교 의과대학 외과학교실
유창식 ( Yu Chang-Sik )
울산대학교 의과대학 외과학교실
김진천 ( Kim Jin-Cheon )
울산대학교 의과대학 외과학교실
KMID : 0356720010170060304
Abstract
Purpose: Intussusceptions occurring in adults are relatively rare, however, surgery is usually recommended since they frequently accompany organic lesions as predisposing factor. The purpose of this study is to analyze clinical
manifestations and investigate optimal treatment principles for adult intussusception.
Methods: Clinicopathogic manifestations of 28 adult intussusception patient were analyzied, retrospectively. The types of adult intussusception were classified as enteric and colonic types. Sex ratio was 15：13 and mean age was 52 (17∼80) years.
Results: CT scan was the most accurate tool for diagnosis of adult intussusception and detection of underlying causes. The types of adult intussusception were 4 jejuno-jejunal, 7 ileo-ileal, 15 ileo-cecal, and 2 colo-colic types. The pathologic lesions were identified in 23 out of 28 cases (82%). Malignancy was the cause of adult intussusception in 5 cases (45%) of enteric type and in 6 cases (35%) of colonic type intussusception. Operations were performed in 26 cases (93%) and resection without reduction was performed in 23 cases.
Conclusions: Surgical exploration without reduction may be the treatment of choice since the majority of cases
have organic lesions as the etiology, with relatively frequent association of malignancies.
키워드
성인 장중첩증;수술적 중재
Adult intussusception;Surgical management
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