Clinical management of intestinal malrotation in different age groups.

Autor: Bostancı SA; Faculty of Medicine, Department of Pediatric Surgery, Ankara Yildirim Beyazit University, Ankara, Turkey. suleymanbostanci@outlook.com., Öztorun Cİ; Faculty of Medicine, Department of Pediatric Surgery, Ankara Yildirim Beyazit University, Ankara, Turkey., Erten EE; Department of Pediatric Surgery, Ankara Bilkent City Hospital, Childrens' Hospital, Universiteler Boulvard, 1604. Street, Çankaya, 06800, Ankara, Turkey., Akkaya F; Department of Pediatric Surgery, Ankara Bilkent City Hospital, Childrens' Hospital, Universiteler Boulvard, 1604. Street, Çankaya, 06800, Ankara, Turkey., Akbaş İ; Department of Pediatric Surgery, Ankara Bilkent City Hospital, Childrens' Hospital, Universiteler Boulvard, 1604. Street, Çankaya, 06800, Ankara, Turkey., Çayhan VS; Department of Pediatric Surgery, Ankara Bilkent City Hospital, Childrens' Hospital, Universiteler Boulvard, 1604. Street, Çankaya, 06800, Ankara, Turkey., Abay AN; Department of Pediatric Surgery, Ankara Bilkent City Hospital, Childrens' Hospital, Universiteler Boulvard, 1604. Street, Çankaya, 06800, Ankara, Turkey., Demir S; Department of Pediatric Surgery, Health Science University, Ankara Bilkent City Hospital, Childrens' Hospital, Ankara, Turkey., Ertürk A; Faculty of Medicine, Department of Pediatric Surgery, Ankara Yildirim Beyazit University, Ankara, Turkey., Azılı MN; Faculty of Medicine, Department of Pediatric Surgery, Ankara Yildirim Beyazit University, Ankara, Turkey., Şenel E; Faculty of Medicine, Department of Pediatric Surgery, Ankara Yildirim Beyazit University, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Pediatric surgery international [Pediatr Surg Int] 2024 Jul 20; Vol. 40 (1), pp. 204. Date of Electronic Publication: 2024 Jul 20.
DOI: 10.1007/s00383-024-05796-9
Abstrakt: Purpose: Intestinal malrotation, characterized by abnormal intestinal positioning, can lead to severe complications like volvulus and internal hernias, especially in neonates and children. Our aim was to evaluate the diagnostic methods, treatment results and postoperative follow-up of pediatric patients treated for intestinal malrotation.
Methods: This retrospective study reviewed medical records of pediatric patients who underwent surgery for intestinal malrotation between January 2013 and January 2022. Data on demographics, symptoms, diagnostic approaches, surgical interventions, and postoperative outcomes were analyzed.
Results: The study included 45 patients, with a male predominance (68.8%). Ages ranged from 1 day to 15 years, averaging 1.54 years. Presenting symptoms were acute abdomen (n = 21) and chronic abdominal pain with vomiting (n = 24). Diagnoses were established via physical exams and imaging, including upper gastrointestinal contrast studies and abdominal ultrasonography. All patients received the Ladd procedure, with some requiring necrotic bowel resection due to volvulus.
Conclusion: The diagnosis and management of pediatric intestinal malrotation present significant challenges due to its variable symptoms and potential for life-threatening complications. Early and accurate diagnosis, followed by appropriate surgical management, is crucial. This study emphasizes the importance of diligent postoperative follow-up to identify and mitigate complications, particularly in younger and severely affected patients.
(© 2024. The Author(s).)
Databáze: MEDLINE
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