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著者: Richard Alexander, Purnell Traverso, Oluwaseyi B Bolorunduro, Gezzer Ortega, David Chang, Edward E Cornwell, Terrence M Fullum
雑誌名: Am J Surg. 2011 Oct;202(4):487-91. doi: 10.1016/j.amjsurg.2011.02.006.
Abstract/Text
BACKGROUND: Adult intussusception is a rare entity representing 1% of all adult bowel obstruction, hospital admissions secondary to intussusception historically has ranged between .003% and .02%. There is limited knowledge regarding enteric and colonic surgical intussusception patients and their associated conditions.
METHODS: A retrospective study was conducted using data from the National Inpatient Sample from 1998 to 2006. The inclusion criteria were surgical patients with intussusception.
RESULTS: A total of 1,178 cases of intussusception requiring surgery were isolated from the database. The mean patient age was 49.57 years, about 58% were females, 99.43% of this population was insured, and the overall mortality rate was 1.70%. Colonic resection was associated with greater mortality compared with the enteric resection group (P = .018).
CONCLUSIONS: This was a large study on surgical adult intussusception patients conducted in the United States. We show differences in demography, comorbidities, and potential causes between colonic and enteric intussusception.
Published by Elsevier Inc.
PMID 21943949 Am J Surg. 2011 Oct;202(4):487-91. doi: 10.1016/j.amjsurg.2011.02.006.
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