Prophylactic gastropexy in the asplenia syndrome

The asplenia [Ivemark] syndrome (AS) is the association of congenital absence of the spleen with a variety of visceral abnormalities, predominantly of the cardiovascular system. Varying degrees of malrotation and malfixation of the bowel are common in this condition, and the occurrence of catastroph...

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Bibliographic Details
Published in:Pediatric surgery international 1997, Vol.12 (1), p.28-29
Main Authors: OKOYE, B. O, BAILEY, D. M. C, CUSICK, E. L, SPICER, R. D
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child, Preschool
Heart Defects, Congenital - complications
Humans
Infant
Male
Medical sciences
Spleen - abnormalities
Stomach - surgery
Stomach Volvulus - prevention & control
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Suture Techniques
Syndrome
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Summary:The asplenia [Ivemark] syndrome (AS) is the association of congenital absence of the spleen with a variety of visceral abnormalities, predominantly of the cardiovascular system. Varying degrees of malrotation and malfixation of the bowel are common in this condition, and the occurrence of catastrophic gastric volvulus due to malfixation of the bowel has been reported. With the improvement in long-term outlook for these patients with modern cardiac surgery and prophylactic antibiotics, the intra-abdominal anomalies have become increasingly significant. This paper draws attention to the prophylactic treatment of gastric malfixation in the AS through the presentation of two cases in which gastropexy was performed.
ISSN:0179-0358
1437-9813
DOI:10.1007/BF01194797