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Midgut volvulus

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https://www.readbyqxmd.com/read/28185632/risk-factors-and-outcomes-of-tapering-surgery-for-small-intestinal-dilatation-in-pediatric-short-bowel-syndrome
#1
Maria Hukkinen, Reetta Kivisaari, Antti Koivusalo, Mikko P Pakarinen
BACKGROUND: In remains unclear why in some short bowel syndrome (SBS) patients, the remaining small bowel (SB) dilates excessively leading to requirement of tapering surgery. METHODS: Among SBS children, we retrospectively analyzed risk factors for tapering surgery with logistic regression and compared the outcome of operated patients (n=16) to those managed conservatively (n=44) with Cox proportional hazards regression. RESULTS: SBS was caused by necrotizing enterocolitis (NEC) (n=31), SB atresia (SBA) (n=13), midgut volvulus (n=12), or gastroschisis (n=4)...
January 31, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28182093/utility-of-the-ct-scan-in-diagnosing-midgut-volvulus-in-patients-with-chronic-abdominal-pain
#2
Ehsan Shahverdi, Mehdi Morshedi, Maryam Allahverdi Khani, Mohammad Baradaran Jamili, Fatemeh Shafizadeh Barmi
Symptomatic intestinal malrotation first presenting in the adults is rare. Midgut volvulus is the most common complication of malrotation in the adults. Because of more differential diagnosis, Computed Tomography (CT) scan can play an important role in the evaluation of patients with this abnormality. The whirl pattern around the superior mesenteric artery found on CT scan in patients with midgut volvulus is pathognomonic and diagnostic. We describe a case of intestinal malrotation complicated by midgut volvulus in an adult patient...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28144614/midgut-volvulus-as-a-complication-of-intestinal-malrotation-in-pregnancy
#3
Artur Sérgio Gião Antunes, Bruno Peixe, Horácio Guerreiro
No abstract text is available yet for this article.
2017: ACG Case Reports Journal
https://www.readbyqxmd.com/read/28126700/small-bowel-volvulus-in-pregnancy-with-associated-superior-mesenteric-artery-occlusion
#4
Yonah B Esterson, Robert Villani, Ronald A Dela Cruz, Barak Friedman, Gregory M Grimaldi
Here we report the case of a pregnant 28-year-old who presented with acute upper abdominal pain. CT demonstrated midgut volvulus with short segment occlusion of the superior mesenteric artery (SMA). Emergent detorsion of the small bowel was performed, at which time underlying intestinal malrotation was discovered. Following detorsion, the SMA had a bounding pulse and did not require thrombectomy or revascularization. Fewer than 25 cases of midgut volvulus during pregnancy have been reported over the past 20years...
January 16, 2017: Clinical Imaging
https://www.readbyqxmd.com/read/28124311/color-doppler-an-effective-tool-for-diagnosing-midgut-volvulus-with-malrotation
#5
Bindey Kumar, Manish Kumar, Prem Kumar, Amit Kumar Sinha, Utpal Anand, Anil Kumar
BACKGROUND: Malrotation with midgut volvulus is a common surgical emergency in children. A diagnostic tool for malrotation with characteristics ideal in emergency settings such as non-invasiveness and rapidity remains a keenly debated issue among surgeons and radiologists alike. METHODS: Fifty-two pediatric patients of suspected malrotation with midgut volvulus were studied between 1998 and 2016. All patients underwent plain abdominal X-ray and Color Doppler; contrast upper gastrointestinal (GI) studywas done in some patients...
January 26, 2017: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/28055334/intestinal-malrotation-and-volvulus-in-neonates-laparoscopy-versus-open-laparotomy
#6
Luisa Ferrero, Yosra Ben Ahmed, Paul Philippe, Olivier Reinberg, Isabelle Lacreuse, Anne Schneider, Raphael Moog, Cindy Gomes-Ferreira, François Becmeur
BACKGROUND: Intestinal malrotations with midgut volvulus are surgical emergencies that can lead to life-threatening intestinal necrosis. This study evaluates the feasibility and the outcomes of laparoscopic treatment of midgut volvulus compared with classic open Ladd's procedure in neonates. MATERIALS AND METHODS: The medical records of all neonates with diagnosis of malrotation and volvulus, who underwent surgery between January 1993 and January 2014, were reviewed...
January 5, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28052307/ultrashort-bowel-syndrome-outcome-in-children-treated-in-a-multidisciplinary-intestinal-rehabilitation-unit
#7
Mariela Dore, Paloma Triana Junco, Ane Andres Moreno, Vanesa Nuñez Cerezo, Martha Romo Muñoz, Alba Sánchez Galán, Alejandra Vilanova Sánchez, Gerardo Prieto, Esther Ramos, Francisco Hernandez, Leopoldo Martínez Martínez, Manuel Lopez Santamaria
Aim Short bowel syndrome (SBS) is the leading cause of intestinal failure (IF) in the pediatric population. Our aim was to review long-term outcome of ultrashort bowel syndrome (USBS) in an Intestinal Rehabilitation Unit (IRU). Patients and Methods Retrospective study of patients with USBS (defined as < 10 cm of remnant small bowel) treated between 2000 and 2015. Demographic data, clinical, and treatment variables including parenteral nutrition (PN), surgical techniques, and intestinal transplantation (IT) were analyzed...
February 2017: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27894424/intestinal-rotation-abnormalities-and-midgut-volvulus
#8
REVIEW
Jacob C Langer
Rotation abnormalities may be asymptomatic or may be associated with obstruction caused by bands, midgut volvulus, or associated atresia or web. The most important goal of clinicians is to determine whether the patient has midgut volvulus with intestinal ischemia, in which case an emergency laparotomy should be done. If the patient is not acutely ill, the next goal is to determine whether the patient has a narrow-based small bowel mesentery. In general, the outcomes for children with a rotation abnormality are excellent, unless there has been midgut volvulus with significant intestinal ischemia...
February 2017: Surgical Clinics of North America
https://www.readbyqxmd.com/read/27888039/total-midgut-volvulus-in-adults-with-intestinal-malrotation-report-of-eleven-patients
#9
H Kotobi, V Tan, J Lefèvre, F Duramé, G Audry, Y Parc
OBJECTIVE: Total small-intestinal volvulus with malrotation (TSIVM) classically presents in the neonatal period; it occurs much less frequently in the adult and is often misdiagnosed. Prognosis is directly related to the degree and duration of intestinal ischemia. Our goal is to describe our experience with TSIVM in the adult, to identify any specific findings and to discuss its management. METHOD: Eleven patients who had undergone surgery for TSIVM at three centers between 1992 and 2012 were included...
November 22, 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27847120/the-risk-of-midgut-volvulus-in-patients-with-abdominal-wall-defects-a-multi-institutional-study
#10
MULTICENTER STUDY
Jason A Fawley, Abdelhafeez H Abdelhafeez, Jessica A Schultz, Allison Ertl, Laura D Cassidy, Shawn St Peter, Amy J Wagner
BACKGROUND: The management of malrotation in patients with congenital abdominal wall defects has varied among surgeons. We were interested in investigating the risk of midgut volvulus in patients with gastroschisis and omphalocele to help determine if these patients may benefit from undergoing a Ladd procedure. METHODS: A retrospective chart review was performed for all patients managed at three institutions born between 1/1/2000 and 12/31/2008 with a diagnosis of gastroschisis or omphalocele...
January 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27672583/malrotation-and-midgut-volvulus-associated-with-asymptomatic-duplication-cyst-of-jejunum
#11
Sandip Kumar Rahul, Vijai Datta Upadhyaya, Basant Kumar
Gastrointestinal duplications can affect any part of the alimentary tract and are notorious for their variable presentation. Their association with malrotation and midgut volvulus is rare. We describe an 8-year old boy presented with episodes of abdominal pain. Radiological workup showed whirlpool sign and abnormal relationship of mesenteric vessels. At operation, malrotation with chronic volvulus was found. Incidentally, a jejunal communicating duplication cyst was also noted.
September 2016: APSP Journal of Case Reports
https://www.readbyqxmd.com/read/27625732/a-curious-case-of-right-upper-quadrant-abdominal-pain
#12
Andrew Grock, Wendy Chan, Ian S deSouza
An otherwise healthy 36-year-old man presented with sudden-onset right upper quadrant abdominal pain and vomiting. A bedside ultrasound, performed to evaluate hepatobiliary pathology, revealed a normal gallbladder but free intraperitoneal fluid. After an expedited CT and emergent explorative laparotomy, the patient was diagnosed with a small bowel obstruction with ischemia secondary to midgut volvulus. Though midgut volvulus is rare in adults, delays in definitive diagnosis and management can result in bowel necrosis...
September 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27594965/intestinal-malrotation-and-midgut-volvulus
#13
Hidayatullah Hamidi, Yalda Obaidy, Sahar Maroof
A four-day-old boy presented with persistent bilious vomiting, bloody stained stool, and mild abdominal distension. Transabdominal ultrasound demonstrated a round soft-tissue mass-like structure in the right upper quadrant. With color Doppler ultrasound, the whirlpool sign was observed. Abdominal radiograph showed nonspecific findings. Upper gastrointestinal series revealed upper gastrointestinal tract obstruction at the level of distal duodenum. The diagnosis of intestinal malrotation with midgut volvulus was established and the treated surgically...
September 2016: Radiology case reports
https://www.readbyqxmd.com/read/27558686/evaluation-of-a-pediatric-fluoroscopy-training-module-to-improve-performance-of-upper-gastrointestinal-procedures-in-neonates-with-bilious-emesis
#14
Ellen C Benya, Mary R Wyers, Ellen K O'Brien
BACKGROUND: Life-threatening midgut volvulus usually occurs in infants with malrotation and requires rapid diagnosis and surgical treatment to prevent bowel necrosis and death. However, because of the low frequency of upper gastrointestinal studies performed in infants younger than 1 month, many diagnostic radiology residents finish their residency training having limited or no opportunity to perform or observe an upper gastrointestinal (GI) series for evaluation of bilious emesis in a neonate...
November 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/27551577/magnetic-resonance-imaging-diagnosis-of-volvulus-through-mesenteric-defect-in-neonate
#15
Scott Leopold, Mohammed Al-Qaraghouli, Naveed Hussain, Christine Finck
Antenatal midgut volvulus is a rare surgical emergency in which bowel is severely compromised. Rarely the etiology is a mesenteric defect. Early diagnosis is essential and lifesaving in the immediate newborn period. Typically upper gastrointestinal or ultrasound imaging can be suggestive of the diagnosis of volvulus in the neonate. Sometimes, however, the diagnosis may be elusive. Herein, we report on the use of neonatal magnetic resonance imaging to diagnose a midgut volvulus that occurred through a congenital mesenteric defect...
April 2016: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/27495992/wandering-liver-and-intestinal-malrotation-first-report
#16
Alex Ordonez, David Nguyen, Stephanie Mlacker, Andrea Ordonez, Emanuele Lo Menzo, Samuel Szomstein, Raul Rosenthal
A wandering liver is a rare development in both the adult and pediatric population where the liver is freely displaced along a transverse axis. We describe the first known occurrence in published literature of a wandering liver in an adult individual who also had an intestinal malrotation complicated by a midgut volvulus. The abnormal ability for a liver to wander presents a highly unusual anatomy that can be disorienting. Laparoscopic surgery is a viable option in reducing a midgut volvulus and addressing an intestinal malrotation in the presence of a wandering liver...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27410948/images-in-clinical-medicine-jejunal-diverticulosis-with-midgut-volvulus-and-intestinal-malrotation
#17
Ina Jochmans, Jacques Pirenne
A 67-year-old woman with a 6-month history of malabsorption and malnourishment was referred for possible intestinal transplantation. She had a body-mass index (the weight in kilograms divided by the square of the height in meters) of 19. The patient was receiving only parenteral nutrition because..
July 14, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27403672/intestinal-rotation-anomalies
#18
Juan Carlos Pelayo, Andrea Lo
Intestinal rotation abnormality (IRA) predisposes to lethal midgut volvulus. An understanding of intestinal development illustrates the process of normal intestinal rotation and fixation. An appreciation of the clinical presentation and consequences of missed IRA will enhance clinical suspicion and timely evaluation. Selecting the appropriate imaging modality to diagnose IRA requires an understanding of the benefits and limitations of each. The Ladd's procedure continues to be the appropriate surgical treatment for IRA with or without volvulus...
July 1, 2016: Pediatric Annals
https://www.readbyqxmd.com/read/27364824/intestinal-necrosis-with-midgut-malrotation-and-intermittent-volvulus-presentation-as-acute-abdominal-pain-in-an-adult
#19
Christina G Hsu, Abraham Berger, Adina Shulman, Michael Heller, Eric Steinberg
No abstract text is available yet for this article.
September 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27353636/intestinal-malrotation-needs-consideration-and-investigation-insistently-intestinal-malrotation-potential-danger
#20
Semire Serin Ezer, Pelin Oguzkurt, Abdulkerim Temiz, Emine Ince, Hasan Ozkan Gezer, Senay Demir, Akgun Hicsonmez
BACKGROUNDS: We aimed to evaluate clinical presentation, diagnostic studies, volvulus rate and to emphasize unusual clinical clues in patients who had intestinal malrotation. METHODS: We conducted a retrospective descriptive review on all patients diagnosed with intestinal malrotation between 2002 and 2014. Patients were divided into two groups: Group 1: infants (<1 year, n=16), Group 2: children (>1year, n=12). Patients' demographics, clinical history, symptoms, physical examination findings, signs of diagnostic work-up, operative findings and early outcome were evaluated...
June 29, 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
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