Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus

Yıl: 2017 Cilt: 47 Sayı: 2 Sayfa Aralığı: 633 - 637 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus

Öz:
Background/aim: The aim is to evaluate the long-term outcome of asymptomatic patients who underwent surgical correction for midgut volvulus. Materials and methods: Seven patients managed surgically for midgut volvulus in the last 3 years were included. Demographic features, symptoms at presentation, diagnoses, surgical procedures, and complications were recorded. Patients were then contacted for followup and evaluation of long-term outcomes. General physical conditions, anthropometric parameters, feeding habits, and defecation histories were evaluated. Laboratory examinations were performed. Color Doppler ultrasonography (CDUS) was performed to evaluate blood flow in the superior mesenteric artery (SMA). Results: In total, seven patients were identified. The median age at admission was 3 days (0 90 days). Mean age at follow-up was 17 ± 2 months. Growth parameters were normal in all cases. Four patients had low levels of ferritin and transferrin saturation. One patient had microcytic anemia. Another patient had low serum zinc level. One patient who had ileal resection had a high level of steatorrhea in stool examination. In CDUS, SMA blood flow volume was low in all cases. Peak-systolic velocity and resistance index were low in all but one case. Conclusion: Despite uneventful postoperative courses, all patients operated on for midgut volvulus showed mild laboratory changes and decreased blood flow in the SMA in long-term follow-up.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Dassinger MS, Smith SD. Disorders of intestinal rotation and fixation. In: Coran AG, Adzick NS, Krummel TM, Laberge JM, Shamberger RC, Caldamone AA, editors. Pediatric Surgery. 7th ed. Philadelphia, PA, USA: Mosby-Elsevier; 2012. pp. 1111-1125.
  • 2. Nagdeve NG, Qureshi AM, Bhingare PD, Shinde SK. Malrotation beyond infancy. J Pediatr Surg 2012; 47: 2016- 2032.
  • 3. Durkin ET, Lund DP, Shaaban AF, Schurr MJ, Weber SM. Agerelated differences in diagnosis and morbidity of intestinal malrotation. J Am Coll Surg 2008; 206: 658-663.
  • 4. El-Gohary Y, Alagtal M. Long-term complications following operative intervention for intestinal malrotation: a 10-year review. Pediatr Surg Int 2010; 26: 203-206.
  • 5. Biko DM, Anupindi SA, Hanhan SB, Blinman T, Markowitz RI. Assessment of recurrent abdominal symptoms after Ladd procedure: clinical and radiographic correlation. J Pediatr Surg 2011; 46: 1720-1725.
  • 6. Eloi JC, Epifanio M, Spolidoro JV, Camargo P, Krebs J, Mizerkowski MD, Baldisserotto M. Doppler US measurement of the superior mesenteric artery blood flow in children and adolescents. Pediatr Radiol 2012; 42: 1465-1470.
  • 7. Van Bel F, Van Zweiten PH, Guit GL, Schipper J. Superior mesenteric artery blood flow velocity and estimated volume flow: duplex Doppler US study of preterm and term neonates. Radiology 1990; 174: 165-169.
  • 8. Okada T, Yoshida H, Iwai J, Matsunaga T, Ohtsuka Y, Kouchi K, Tanabe M, Ohnuma N. Pulsed Doppler sonography for the diagnosis of strangulation in small bowel obstruction. J Pediatr Surg 2001; 36: 430-435.
  • 9. Lampl B, Levin TL, Berdon WE, Cowles RA. Malrotation and midgut volvulus: a historical review and current controversies in diagnosis and management. Pediatr Radiol 2009; 39: 359- 366.
  • 10. İmamoğlu M, Çay A, Sarihan H, Şen Y. Rare clinical presentation mode of intestinal malrotation after neonatal period: Malabsorption-like symptoms due to chronic midgut volvulus. Pediatr Int 2004; 46: 167-170.
  • 11. Strouse PJ. Malrotation. Semin Roentgenol 2008; 43: 7-14.
  • 12. Nasir AA, Abdur-Rahman LO, Adeniran JO. Outcomes of surgical treatment of malrotation in children. Afr J Pediatr Surg 2011; 8: 8-11.
  • 13. Murphy FL, Sparson AL. Long-term complications following intestinal malrotation and the Ladd’s procedure: a 15 year review. Pediatr Surg Int 2006; 22: 326-329.
  • 14. Karoui S, Nouira K, Serghini M, Ben Mustapha N, Boubaker J, Menif E, Filali A. Assessment of activity of Crohn’s disease by Doppler sonography of superior mesenteric artery flow. J Crohns Colitis 2010; 4: 334-340.
  • 15. Murdoch EM, Sinha AK, Shanmugalingam ST, Smith GC, Kempley ST. Doppler flow velocimetry in the superior mesenteric artery on the first day of life in preterm infants and the risk of neonatal necrotizing enterocolitis. Pediatrics 2006; 118: 1999-2003.
APA cakmak a, BOYBEYİ TÜRER Ö, GÖLLÜ BAHADIR G, TÜREDİ B, ATEŞ U, Yildiz A, KUCUK G, FİTOZ Ö, Ulukol B, Aslan M, Soyer T, dindar h (2017). Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus. , 633 - 637.
Chicago cakmak ahmet murat,BOYBEYİ TÜRER ÖZLEM,GÖLLÜ BAHADIR Gülnur,TÜREDİ BİLGE,ATEŞ Ufuk,Yildiz Adalet,KUCUK Gonul,FİTOZ ÖMER SUAT,Ulukol Betul,Aslan Mustafa Kemal,Soyer Tutku,dindar hüseyin Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus. (2017): 633 - 637.
MLA cakmak ahmet murat,BOYBEYİ TÜRER ÖZLEM,GÖLLÜ BAHADIR Gülnur,TÜREDİ BİLGE,ATEŞ Ufuk,Yildiz Adalet,KUCUK Gonul,FİTOZ ÖMER SUAT,Ulukol Betul,Aslan Mustafa Kemal,Soyer Tutku,dindar hüseyin Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus. , 2017, ss.633 - 637.
AMA cakmak a,BOYBEYİ TÜRER Ö,GÖLLÜ BAHADIR G,TÜREDİ B,ATEŞ U,Yildiz A,KUCUK G,FİTOZ Ö,Ulukol B,Aslan M,Soyer T,dindar h Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus. . 2017; 633 - 637.
Vancouver cakmak a,BOYBEYİ TÜRER Ö,GÖLLÜ BAHADIR G,TÜREDİ B,ATEŞ U,Yildiz A,KUCUK G,FİTOZ Ö,Ulukol B,Aslan M,Soyer T,dindar h Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus. . 2017; 633 - 637.
IEEE cakmak a,BOYBEYİ TÜRER Ö,GÖLLÜ BAHADIR G,TÜREDİ B,ATEŞ U,Yildiz A,KUCUK G,FİTOZ Ö,Ulukol B,Aslan M,Soyer T,dindar h "Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus." , ss.633 - 637, 2017.
ISNAD cakmak, ahmet murat vd. "Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus". (2017), 633-637.
APA cakmak a, BOYBEYİ TÜRER Ö, GÖLLÜ BAHADIR G, TÜREDİ B, ATEŞ U, Yildiz A, KUCUK G, FİTOZ Ö, Ulukol B, Aslan M, Soyer T, dindar h (2017). Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus. Turkish Journal of Medical Sciences, 47(2), 633 - 637.
Chicago cakmak ahmet murat,BOYBEYİ TÜRER ÖZLEM,GÖLLÜ BAHADIR Gülnur,TÜREDİ BİLGE,ATEŞ Ufuk,Yildiz Adalet,KUCUK Gonul,FİTOZ ÖMER SUAT,Ulukol Betul,Aslan Mustafa Kemal,Soyer Tutku,dindar hüseyin Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus. Turkish Journal of Medical Sciences 47, no.2 (2017): 633 - 637.
MLA cakmak ahmet murat,BOYBEYİ TÜRER ÖZLEM,GÖLLÜ BAHADIR Gülnur,TÜREDİ BİLGE,ATEŞ Ufuk,Yildiz Adalet,KUCUK Gonul,FİTOZ ÖMER SUAT,Ulukol Betul,Aslan Mustafa Kemal,Soyer Tutku,dindar hüseyin Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus. Turkish Journal of Medical Sciences, vol.47, no.2, 2017, ss.633 - 637.
AMA cakmak a,BOYBEYİ TÜRER Ö,GÖLLÜ BAHADIR G,TÜREDİ B,ATEŞ U,Yildiz A,KUCUK G,FİTOZ Ö,Ulukol B,Aslan M,Soyer T,dindar h Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus. Turkish Journal of Medical Sciences. 2017; 47(2): 633 - 637.
Vancouver cakmak a,BOYBEYİ TÜRER Ö,GÖLLÜ BAHADIR G,TÜREDİ B,ATEŞ U,Yildiz A,KUCUK G,FİTOZ Ö,Ulukol B,Aslan M,Soyer T,dindar h Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus. Turkish Journal of Medical Sciences. 2017; 47(2): 633 - 637.
IEEE cakmak a,BOYBEYİ TÜRER Ö,GÖLLÜ BAHADIR G,TÜREDİ B,ATEŞ U,Yildiz A,KUCUK G,FİTOZ Ö,Ulukol B,Aslan M,Soyer T,dindar h "Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus." Turkish Journal of Medical Sciences, 47, ss.633 - 637, 2017.
ISNAD cakmak, ahmet murat vd. "Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus". Turkish Journal of Medical Sciences 47/2 (2017), 633-637.