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Titolo:
Intussusception in a tropical country: Comparison among patient populations in Jakarta, Jogyakarta, and Amsterdam
Autore:
van Heek, NT; Aronson, DC; Halimun, EM; Soewarno, R; Molenaar, JC; Vos, A;
Indirizzi:
Pediat Surg Ctr Amsterdam, Amsterdam, Netherlands Pediat Surg Ctr Amsterdam Amsterdam Netherlands Amsterdam, Netherlands Childrens & Matern Hosp Harapan Kita, Jakarta, Indonesia Childrens & Matern Hosp Harapan Kita Jakarta Indonesia karta, Indonesia Sardjito Gen Hosp, Jogyakarta, Indonesia Sardjito Gen Hosp Jogyakarta Indonesia Gen Hosp, Jogyakarta, Indonesia Sophia Childrens Hosp, Dept Pediat Surg, Rotterdam, Netherlands Sophia Childrens Hosp Rotterdam Netherlands urg, Rotterdam, Netherlands
Titolo Testata:
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
fascicolo: 4, volume: 29, anno: 1999,
pagine: 402 - 405
SICI:
0277-2116(199910)29:4<402:IIATCC>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHILDHOOD INTUSSUSCEPTION; INFANCY; BARIUM;
Keywords:
intussusception; mortality; tropical;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Aronson, DC Univ Amsterdam, Acad Med Ctr, Emma Kinderziekenhuis, Pediat Surg Ctr Amsterdam, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands Univ Amsterdam Meibergdreef 9 Amsterdam Netherlands NL-1105 AZ
Citazione:
N.T. van Heek et al., "Intussusception in a tropical country: Comparison among patient populations in Jakarta, Jogyakarta, and Amsterdam", J PED GASTR, 29(4), 1999, pp. 402-405

Abstract

Background: Intussusception is the most common cause of intestinal obstruction in young children, and high mortality rates remain a problem in developing countries. The purpose of this study was to describe and elucidate thedifferences in outcome between groups of children with intussusception in Indonesia, a developing country, and The Netherlands, a developed country. Methods: In this retrospective review, 176 patients were studied in three types of hospitals. A comparison was made among children treated at a primary care rural hospital in Indonesia, at a secondary care urban hospital in Indonesia, and at a tertiary care urban hospital in The Netherlands. Results: Children in the rural community hospital in Indonesia were more severely ill at arrival and had a significantly longer duration of symptoms,an increased incidence of nonviable bowel, and a mortality rate of 20%, incontrast to a mortality rate of 3% in the urban hospital in Indonesia and no deaths in the Dutch hospital. Conclusions: The mortality of children with intussusception in rural Indonesia is much higher than in urban Indonesia or in The Netherlands, probablybecause of delayed treatment, which results in more patients undergoing surgery in worse physical condition.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 10:29:16