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Non-traumatic Small Bowel Perforation: Comparisons of the Clinical Features of 20 Years Ago with Present

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Non-traumatic Small Bowel Perforation: Com- parisons of the Clinical Features of 20 Years Ago with Present

Keun Yeong Song, M.D., Kyung Jong Kim, M.D., Jeong Hwan Chang, M.D., Kweon Cheon Kim, M.D., Young Don Min, M.D., Sung Hwan Kim, M.D., and Hyun Jin Cho, M.D.

The majority of small bowel perforations are caused by an abdominal trauma. However, non-traumatic causes should not be ignored. The etiology of a non-traumatic small bowel perforation is varies and has chronological characteristics.

This retrospective study was undertaken to investigate the chronological changes in non-traumatic small bowel perfora- tions over the past twenty years, according to the clinical features, surgical methods, and the prognosis of those with a non-traumatic small bowel perforation. The results of this study showed that the incidence of a bacterial enteritis induced small bowel perforation has significantly decreased, and inflammatory bowel disease or collagen disease has become the major causes of a non-traumatic small bowel perforation. Moreover, geriatric patients over 70 years of age are more vulnerable to a non-traumatic small bowel per- foration. (J Korean Surg Soc 2004;66:190-193)

Key Words: Non-traumatic small bowel perforation, Com- parisons of the clinical features

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Department of Surgery, Chosun University College of Medi- cine, Gwangju, Korea

비외상성 소장천공: 20년 전과 현재의 비교

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