Intestinal rotation anomalies in childhood: review of 22 years' experience

We review our experience of treating intestinal rotation anomalies in infants and children in the 22-year period between 1978 and 2000. The type of operation performed, postoperative complications, and mortality were compared in three age groups. Group 1 consisted of neonates 1 year of age, with a m...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2003-12, Vol.33 (12), p.893-895
Main Authors: Ilçe, ZekerIya, CelayIr, Sinan, Akova, Fatih, Tekant, Gonca Topuzlu, Emir, Haluk, Sarimurat, Nüvit, Erdoĝan, Ergun, Senyüz, Osman Faruk, Yeker, Daver
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Chronic Disease
Female
Humans
Incidence
Infant
Infant, Newborn
Intestinal Diseases - complications
Intestinal Diseases - diagnostic imaging
Intestinal Obstruction - diagnostic imaging
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Intestinal Volvulus - diagnostic imaging
Intestinal Volvulus - etiology
Intestinal Volvulus - surgery
Intestines - abnormalities
Intestines - diagnostic imaging
Male
Necrosis
Postoperative Complications
Radiography
Time Factors
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Summary:We review our experience of treating intestinal rotation anomalies in infants and children in the 22-year period between 1978 and 2000. The type of operation performed, postoperative complications, and mortality were compared in three age groups. Group 1 consisted of neonates 1 year of age, with a mean age of 6 years (range 1-9 years). Eighty-five (84%) patients underwent emergency procedures. Ladd's operation was performed in all patients, with various additional procedures. The most frequent postoperative complications were adhesive intestinal obstruction, stoma necrosis, evisceration, and short bowel syndrome. The mortality rate was 36% in Group 1, 20% in Group 2, and 0% in Group 3. In this series surgery was usually performed as an emergency procedure, with higher morbidity and mortality in newborns than in older infants and children.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-003-2624-1