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Characteristics of intussusception among children in Korea: a nationwide epidemiological study

BACKGROUND: Intussusception is a gastrointestinal condition in which early treatment is critical. Although its epidemiology and comorbidities have been studied, few studies have included the entire pediatric population of a country. Therefore, we aimed to analyze the epidemiologic features of pediat...

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Autores principales: Jo, Soojin, Lim, In Seok, Chae, Soo Ahn, Yun, Sin Weon, Lee, Na Mi, Kim, Su Yeong, Yi, Dae Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598253/
https://www.ncbi.nlm.nih.gov/pubmed/31253125
http://dx.doi.org/10.1186/s12887-019-1592-6
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author Jo, Soojin
Lim, In Seok
Chae, Soo Ahn
Yun, Sin Weon
Lee, Na Mi
Kim, Su Yeong
Yi, Dae Yong
author_facet Jo, Soojin
Lim, In Seok
Chae, Soo Ahn
Yun, Sin Weon
Lee, Na Mi
Kim, Su Yeong
Yi, Dae Yong
author_sort Jo, Soojin
collection PubMed
description BACKGROUND: Intussusception is a gastrointestinal condition in which early treatment is critical. Although its epidemiology and comorbidities have been studied, few studies have included the entire pediatric population of a country. Therefore, we aimed to analyze the epidemiologic features of pediatric intussusception patients and identify comorbidities associated with intussusception in South Korea, using the public health database. METHODS: We analyzed the data of children below 18 years of age, from the national database of South Korea, who were diagnosed with intussusception and managed such as air reduction or surgical methods from 2008 to 2016. Patients were categorized into six groups based on the comorbid diseases. Patients with structural lesion in gastrointestinal tract were divided diagnosis or diagnosis code. RESULTS: The number of patients diagnosed with intussusception were 25,023 (16,024 males, 64.0%). Of them, the highest percentage was patients aged between 2 and 36 months (20,703; 82.7%). The incidence per 100,000 individuals aged up to 2 years was 196.7. The number of males were 16,024 (64.0%) and were almost twice the number of 8999 (36.0%) female patients. The maximum number of cases (n = 2517; 10.1%) were seen in September, followed by July (n = 2469; 9.9%). In February, the number of cases was lowest at 1448 (5.8%) patients (P < 0.001). The number of patients with structural lesions of the gastrointestinal tract that could lead to intussusception was 1207 (4.8%), while patients with acute gastrointestinal infectious disease were 4541 (18.1%). Among the structural lesions of the gastrointestinal tract that could be the leading cause of intussusception, lymphadenopathy was the most common, seen in 462 (56.6%) patients and an appendix-related condition was seen in 260 (31.9%) patients. Infectious diseases were more common in the younger children, while systemic diseases were more common in the older. CONCLUSION: We confirmed that pediatric intussusception in South Korea shows a seasonal tendency, which is age-dependent and is associated with an exposure to infectious agents. Some infectious pathogens and underlying diseases might play an important role in the pathophysiology of intussusception.
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spelling pubmed-65982532019-07-11 Characteristics of intussusception among children in Korea: a nationwide epidemiological study Jo, Soojin Lim, In Seok Chae, Soo Ahn Yun, Sin Weon Lee, Na Mi Kim, Su Yeong Yi, Dae Yong BMC Pediatr Research Article BACKGROUND: Intussusception is a gastrointestinal condition in which early treatment is critical. Although its epidemiology and comorbidities have been studied, few studies have included the entire pediatric population of a country. Therefore, we aimed to analyze the epidemiologic features of pediatric intussusception patients and identify comorbidities associated with intussusception in South Korea, using the public health database. METHODS: We analyzed the data of children below 18 years of age, from the national database of South Korea, who were diagnosed with intussusception and managed such as air reduction or surgical methods from 2008 to 2016. Patients were categorized into six groups based on the comorbid diseases. Patients with structural lesion in gastrointestinal tract were divided diagnosis or diagnosis code. RESULTS: The number of patients diagnosed with intussusception were 25,023 (16,024 males, 64.0%). Of them, the highest percentage was patients aged between 2 and 36 months (20,703; 82.7%). The incidence per 100,000 individuals aged up to 2 years was 196.7. The number of males were 16,024 (64.0%) and were almost twice the number of 8999 (36.0%) female patients. The maximum number of cases (n = 2517; 10.1%) were seen in September, followed by July (n = 2469; 9.9%). In February, the number of cases was lowest at 1448 (5.8%) patients (P < 0.001). The number of patients with structural lesions of the gastrointestinal tract that could lead to intussusception was 1207 (4.8%), while patients with acute gastrointestinal infectious disease were 4541 (18.1%). Among the structural lesions of the gastrointestinal tract that could be the leading cause of intussusception, lymphadenopathy was the most common, seen in 462 (56.6%) patients and an appendix-related condition was seen in 260 (31.9%) patients. Infectious diseases were more common in the younger children, while systemic diseases were more common in the older. CONCLUSION: We confirmed that pediatric intussusception in South Korea shows a seasonal tendency, which is age-dependent and is associated with an exposure to infectious agents. Some infectious pathogens and underlying diseases might play an important role in the pathophysiology of intussusception. BioMed Central 2019-06-28 /pmc/articles/PMC6598253/ /pubmed/31253125 http://dx.doi.org/10.1186/s12887-019-1592-6 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Jo, Soojin
Lim, In Seok
Chae, Soo Ahn
Yun, Sin Weon
Lee, Na Mi
Kim, Su Yeong
Yi, Dae Yong
Characteristics of intussusception among children in Korea: a nationwide epidemiological study
title Characteristics of intussusception among children in Korea: a nationwide epidemiological study
title_full Characteristics of intussusception among children in Korea: a nationwide epidemiological study
title_fullStr Characteristics of intussusception among children in Korea: a nationwide epidemiological study
title_full_unstemmed Characteristics of intussusception among children in Korea: a nationwide epidemiological study
title_short Characteristics of intussusception among children in Korea: a nationwide epidemiological study
title_sort characteristics of intussusception among children in korea: a nationwide epidemiological study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598253/
https://www.ncbi.nlm.nih.gov/pubmed/31253125
http://dx.doi.org/10.1186/s12887-019-1592-6
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