Intestinal Malrotation in Children: Clinical Presentation and Outcomes
Topic overview
This retrospective study of 138 children with intestinal malrotation reveals age-dependent symptom patterns and identifies extremely preterm infants and patients with compromised intestinal circulation as high-risk groups for postoperative complications following Ladd's procedure, with 20% experiencing major complications within 30 days.
Key takeaways
- Intestinal malrotation symptoms vary by age: vomiting predominates under 5 years, abdominal pain becomes primary symptom at 6-15 years.
- 20% of patients develop major postoperative complications (Clavien-Dindo IIIb-V) within 30 days after Ladd's procedure.
- Extremely preterm infants and patients with severely compromised intestinal circulation have significantly higher postoperative complication risk.
- Adhesive bowel obstruction occurs in 11% of patients post-Ladd's procedure; recurrent midgut volvulus is rare but possible.
- Midgut volvulus can result in catastrophic intestinal loss requiring transplantation; mortality risk highest in extremely preterm population.
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How to cite: GlobalCastMD. Intestinal Malrotation in Children: Clinical Presentation and Outcomes. GlobalCastMD Medical Library. 2023-03-07. https://dev.library.globalcastmd.com/article/8453?via_space=staycurrentmd
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