지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.86 No.5
- 발행연도
- 2014.5
- 수록면
- 244 - 248 (5page)
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초록· 키워드
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Purpose: Adult intussusception is uncommon, but an organic lesion is found to be the lead point in 75% to 90% of the cases. This study was designed to review our experience with adult intussusception and to determine if there are any preoperative predictive factors for a malignant lead point.
Methods: Thirty-three patients over 15 years of age were diagnosed with intussusceptions through operative finding over a period of 20 years. We reviewed the medical records of these patients retrospectively, and preoperative predictive factors of malignant lead points were analyzed.
Results: The preoperative diagnosis of intussusception had been made correctly in 86% of the cases, and computed tomography could find a lead point in 79%. A causative organic lesion was found in 29 patients (88%) pathologically; 16 cases (48%) were due to benign tumors, and 13 (39%) were due to malignant tumors. A malignant lead point was present in four of 21 enteric (20%) versus nine of 13 colonic intussusceptions (75%). The period from symptom appearance to hospital visit showed a more chronic nature in malignant neoplasm than in benign neoplasm (P = 0.006), and the location of causative organic lesion showed significant difference between benign and malignant groups (P = 0.003).
Conclusion: Adult intussusceptions are commonly secondary to a pathologic lead point, and a computed tomography is an effective diagnostic tool for finding a lead point preoperatively. The chronic nature of the disease presentation and colonic location of the lead point may suggest a malignant neoplasm.
Methods: Thirty-three patients over 15 years of age were diagnosed with intussusceptions through operative finding over a period of 20 years. We reviewed the medical records of these patients retrospectively, and preoperative predictive factors of malignant lead points were analyzed.
Results: The preoperative diagnosis of intussusception had been made correctly in 86% of the cases, and computed tomography could find a lead point in 79%. A causative organic lesion was found in 29 patients (88%) pathologically; 16 cases (48%) were due to benign tumors, and 13 (39%) were due to malignant tumors. A malignant lead point was present in four of 21 enteric (20%) versus nine of 13 colonic intussusceptions (75%). The period from symptom appearance to hospital visit showed a more chronic nature in malignant neoplasm than in benign neoplasm (P = 0.006), and the location of causative organic lesion showed significant difference between benign and malignant groups (P = 0.003).
Conclusion: Adult intussusceptions are commonly secondary to a pathologic lead point, and a computed tomography is an effective diagnostic tool for finding a lead point preoperatively. The chronic nature of the disease presentation and colonic location of the lead point may suggest a malignant neoplasm.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Azar T. / 1997 / Adult intussusception / Ann Surg 226 : 134 ~ 138
2. [학술지(정기간행물)] - Donhauser JL. / 1950 / Intussusception in the adult / Am J Surg 79 : 673 ~ 677
3. [학술지(정기간행물)] - Begos DG. / 1997 / The diagnosis and management of adult intussusception / Am J Surg 173 : 88 ~ 94
4. [학술지(정기간행물)] - Reijnen HA. / 1989 / Diagnosis and treatment of adult intussusception / Am J Surg 158 : 25 ~ 28
5. [학술지(정기간행물)] - Weilbaecher D. / 1971 / Intussusception in adults. Review of 160 cases / Am J Surg 121 : 531 ~ 535
2. [학술지(정기간행물)] - Donhauser JL. / 1950 / Intussusception in the adult / Am J Surg 79 : 673 ~ 677
3. [학술지(정기간행물)] - Begos DG. / 1997 / The diagnosis and management of adult intussusception / Am J Surg 173 : 88 ~ 94
4. [학술지(정기간행물)] - Reijnen HA. / 1989 / Diagnosis and treatment of adult intussusception / Am J Surg 158 : 25 ~ 28
5. [학술지(정기간행물)] - Weilbaecher D. / 1971 / Intussusception in adults. Review of 160 cases / Am J Surg 121 : 531 ~ 535
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