Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1990-11-2
|
| pubmed:abstractText |
This report concerns 447 infants and children with anomalies of rotation and fixation. Patients were placed in four groups based on initial symptoms. Group A involved 18 patients with acute midgut volvulus. At laparotomy, midgut volvulus was noted and reduction of midgut volvulus and a Ladd procedure were performed in 10 cases and resection was required in 8. There were five deaths (28%). Group B included 54 children with chronic symptoms of intermittent volvulus or duodenal obstruction. Group C involved 44 cases of malrotation observed during exploration for other disorders. Patients in groups B and C underwent a Ladd procedure and appendectomy. There were five unrelated deaths. Group D included 331 neonates with malrotation caused by either diaphragmatic hernia (n = 111) or abdominal wall defects (n = 220). A Ladd procedure was performed on 48 patients with abdominal wall defects and 29 surviving children with diaphragmatic hernia. Only 2 of 172 (1.2%) patients with abdominal wall defects and 1 of 34 (2.9%) patients with diaphragmatic hernia not treated for malrotation had midgut volvulus. Midgut volvulus is more common in infants and is associated with a high mortality rate (28%). Patients with malrotation and chronic obstructive symptoms or those observed during other elective procedures should undergo a Ladd procedure because of the risk of midgut volvulus. The risk of midgut volvulus is low in patients with abdominal wall defects and, probably as a result of adhesions from previous neonatal operations.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0039-6060
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
108
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
710-5; discussion 715-6
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:2218883-Appendectomy,
pubmed-meshheading:2218883-Child,
pubmed-meshheading:2218883-Child, Preschool,
pubmed-meshheading:2218883-Duodenal Obstruction,
pubmed-meshheading:2218883-Female,
pubmed-meshheading:2218883-Hernia, Diaphragmatic,
pubmed-meshheading:2218883-Hernia, Ventral,
pubmed-meshheading:2218883-Humans,
pubmed-meshheading:2218883-Infant, Newborn,
pubmed-meshheading:2218883-Intestinal Obstruction,
pubmed-meshheading:2218883-Male,
pubmed-meshheading:2218883-Postoperative Complications
|
| pubmed:year |
1990
|
| pubmed:articleTitle |
Anomalies of intestinal rotation in childhood: analysis of 447 cases.
|
| pubmed:affiliation |
Department of Surgery, Indiana University School of Medicine, Indianapolis.
|
| pubmed:publicationType |
Journal Article
|