Journal of the Korean Pediatric Society 1993;36(7):944-950.
Published online July 15, 1993.
A Clinical Review of Congenital Gastrointestinal Anomalies
Dong Hak Shin1, Woo Hyun Park2, Chul Young Bae3
1Department of Pediatrics, Keimyung University, College of Medicine, Daegu, Korea
2Department of Pediatric Surgert, Keimyung University, College of Medicine, Daegu, Korea
3Department of Family Medicine, Keimyung University, College of Medicine, Daegu, Korea
선천성 소화기계 기형의 임상적 고찰
신동학1, 박우현2, 배철영3
1계명대학교 의과대학 소아과학교실
2계명대학교 의과대학 소아외과
3계명대학교 의과대학 가정의학교실
Abstract
A clinical review was done on 343 infants and children diagnosed and operated at the Department of Pediatric Surgery in Keimyung University, Dong San Medical Center for congenital gastrointestinal anomalies from January, 1988 to December, 1991. The results are summarized as follows; 1) The most prevalent age group of congenital gastrointestinal anomaly was within first week after birth, and infants within 3months occupied 70% of total, and male to female ratio was 2:1. 2) The most common lesion of congenital gastrointestinal anomalies was stomach with 87 cases (25.4%), followed by anus with 80 cases (23.3%), colon with 63 cases (18.4%) and biliary tract with 38 cases (11.1%). 3) The most common congenital anomaly was congenital hypertrophic pyloric stenosis with 87 cases (25.4%), followed by imperforate anus with 70 cases (20.4%), congenital megacolon with 63 cases (18.4%), and prevalent age was 2 week-3month, first week after birth, 1month-3year. 4) The incidence of common congenital gastrointestinal anomalies were mostly higher in male than in female but choledochal cyst was higher in female than in male. 5) Associated anomalies were observed in 14 cases (4%) of total cases, duodenal atresia was seen the highest rate of the associated anomalies and the most common associated anomaly was annular pancreas, followed by Down syndrome, congenital diaphragmatic hernia.
Key Words: Congenital gastrointestinal anomaly


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