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  1. Intussusception in a tropical country : Comparison among patient populations in Jakarta, Jogyakarta, and Amsterdam.

    Article - En anglais

    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 the differences 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%, in contrast 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, probably because of delayed treatment, which results in more patients undergoing surgery in worse physical condition.

    Mots-clés Pascal : Invagination, Intestin, Incidence, Evolution, Pays en développement, Etude comparative, Epidémiologie, Enfant, Homme, Appareil digestif pathologie, Intestin pathologie

    Mots-clés Pascal anglais : Intussusception, Gut, Incidence, Evolution, Developing countries, Comparative study, Epidemiology, Child, Human, Digestive diseases, Intestinal disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0492097

    Code Inist : 002B13B03. Création : 22/03/2000.