Is There a Need for Bowel Management after Surgery for Isolated Intestinal Malrotation in Children? / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition
;
: 447-452, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-760872
ABSTRACT
PURPOSE:
Few studies have reported non-acute long-term morbidity rates in children with intestinal malrotation. The aim of this study was to investigate the rate of constipation in children undergoing Ladd's procedure for isolated intestinal malrotation.METHODS:
This retrospective study included children aged <15 years who underwent Ladd’s procedure for intestinal malrotation between 2001 and 2016. Demographics, presence of volvulus perioperatively, need for bowel resection, short term (<30 days) and long-term complications, including mortality were recorded. Constipation was defined as treatment with laxatives at 1-year follow-up.RESULTS:
Of the 43 children included in the study, 49% were boys. The median age at surgery was 28 days (0–5, 293 days). Volvulus occurred in 26 children (60.5%), and bowel resection was required in 4 children (9.3%). Short-term complications categorized as grades II–V according to the Clavien-Dindo classification occurred in 13 children (30.2%). Of these, 5 children (11.6%) required re-operation. Constipation was observed in 9 children (23.7%) at the 1-year follow-up. No difference was observed in the rate of perioperative volvulus between children with and without constipation (44% vs. 65%, p=0.45). Excluding re-operations performed within 30 days after surgery, 3 children (6%) underwent surgery for intestinal obstruction during the study period.CONCLUSION:
Many children undergoing Ladd's procedure require bowel management even at long-term follow-up, probably secondary to constipation. It is important to thoroughly evaluate bowel function at the time of follow-up to verify or exclude constipation, and if treatment of constipation is unsuccessful, these children require evaluation for dysmotility disorders and/or intestinal neuronal dysplasia.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Demografia
/
Estudos Retrospectivos
/
Seguimentos
/
Mortalidade
/
Classificação
/
Constipação Intestinal
/
Volvo Intestinal
/
Laxantes
/
Obstrução Intestinal
/
Neurônios
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Criança
/
Humanos
Idioma:
Inglês
Revista:
Pediatric Gastroenterology, Hepatology & Nutrition
Ano de publicação:
2019
Tipo de documento:
Artigo
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