Korean Journal of Gastrointestinal Endoscopy 2008;37(4): 293-298.
수술 전 대장내시경 정복을 시도한 양성 및 악성 병변에 의한 회결장형 장중첩증 2예
이일영ㆍ김재우ㆍ예창진ㆍ채명훈ㆍ성중경ㆍ석기태ㆍ백순구ㆍ조미연*
연세대학교 원주의과대학 내과학교실, *병리과교실
Two Cases of Benign and Malignant Lesion Caused Ileocolic Intussusception: Preoperative Colonoscopic Reduction was Attempted for These Patients
Il Young Lee, M.D., Jae Woo Kim, M.D., Chang Jin Yea, M.D., Myeong Hun Chae, M.D., Joong Kyung Sung, M.D., Ki Tae Suk, M.D., Soon Koo Baik, M.D. and Mee Yon Cho, M.D.*
Departments of Internal Medicine and *Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea
Abstract
In contrast to the idiopathic cause of intussusception in children, adult intussusception in most patients is associated with organic causes. The majority of these patients are brought to the operating room with the preoperative diagnosis of bowel obstruction, and the surgeon discovers an intussusception intraoperatively. But the increasing use of abdominal CT may improve the ability to diagnose intussusception. There is no universal agreement upon the correct treatment of adult intussusception, although most authors agree that surgical intervention is necessary. In the more recent reports, colonoscopic reduction of intussusception has been reported for selected patients. For patients in whom the involved ileum is extremely long, it is advisable to attempt an operative reduction or colonoscopic reduction selectively. Thus, we report here on two patients with benign and malignant lesion, respectively, that caused ileocolic intussusception; preoperative colonoscopic diagnosis and reduction were attempted for these patients, although the patients were not reduced by colonoscopic procedure. (Korean J Gastrointest Endosc 2008;37:293-298)
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