PDF(Pubmed)
Abstract：
OBJECTIVE: Intestinal malrotation, characterized by abnormal intestinal positioning, can lead to severe complications like volvulus and internal hernias, especially in neonates and children. Our aim was to evaluate the diagnostic methods, treatment results and postoperative follow-up of pediatric patients treated for intestinal malrotation.
METHODS: This retrospective study reviewed medical records of pediatric patients who underwent surgery for intestinal malrotation between January 2013 and January 2022. Data on demographics, symptoms, diagnostic approaches, surgical interventions, and postoperative outcomes were analyzed.
RESULTS: The study included 45 patients, with a male predominance (68.8%). Ages ranged from 1 day to 15 years, averaging 1.54 years. Presenting symptoms were acute abdomen (n = 21) and chronic abdominal pain with vomiting (n = 24). Diagnoses were established via physical exams and imaging, including upper gastrointestinal contrast studies and abdominal ultrasonography. All patients received the Ladd procedure, with some requiring necrotic bowel resection due to volvulus.
CONCLUSIONS: The diagnosis and management of pediatric intestinal malrotation present significant challenges due to its variable symptoms and potential for life-threatening complications. Early and accurate diagnosis, followed by appropriate surgical management, is crucial. This study emphasizes the importance of diligent postoperative follow-up to identify and mitigate complications, particularly in younger and severely affected patients.
METHODS: This retrospective study reviewed medical records of pediatric patients who underwent surgery for intestinal malrotation between January 2013 and January 2022. Data on demographics, symptoms, diagnostic approaches, surgical interventions, and postoperative outcomes were analyzed.
RESULTS: The study included 45 patients, with a male predominance (68.8%). Ages ranged from 1 day to 15 years, averaging 1.54 years. Presenting symptoms were acute abdomen (n = 21) and chronic abdominal pain with vomiting (n = 24). Diagnoses were established via physical exams and imaging, including upper gastrointestinal contrast studies and abdominal ultrasonography. All patients received the Ladd procedure, with some requiring necrotic bowel resection due to volvulus.
CONCLUSIONS: The diagnosis and management of pediatric intestinal malrotation present significant challenges due to its variable symptoms and potential for life-threatening complications. Early and accurate diagnosis, followed by appropriate surgical management, is crucial. This study emphasizes the importance of diligent postoperative follow-up to identify and mitigate complications, particularly in younger and severely affected patients.
摘要：
目的：肠旋转不良，以肠道定位异常为特征，会导致严重的并发症，如扭转和内疝，尤其是新生儿和儿童。我们的目的是评估诊断方法，肠旋转不良患儿的治疗结果及术后随访。
方法：这项回顾性研究回顾了2013年1月至2022年1月因肠道旋转不良而接受手术的儿科患者的病历。人口统计数据，症状,诊断方法，手术干预，并对术后结局进行分析.
结果：该研究包括45名患者，男性占主导地位（68.8%）。年龄从1天到15岁不等,平均1.54年。表现为急腹症（n=21）和慢性腹痛伴呕吐（n=24）。诊断是通过体检和成像确定的，包括上消化道造影和腹部超声检查。所有病人都接受了Ladd手术,有些人由于肠扭转而需要进行坏死肠切除。
结论：小儿肠旋转不良的诊断和治疗由于其多变的症状和可能危及生命的并发症而面临重大挑战。早期和准确的诊断，随后进行适当的手术管理，至关重要。这项研究强调了勤奋的术后随访对识别和减轻并发症的重要性。特别是在年轻和严重影响的患者。
方法：这项回顾性研究回顾了2013年1月至2022年1月因肠道旋转不良而接受手术的儿科患者的病历。人口统计数据，症状,诊断方法，手术干预，并对术后结局进行分析.
结果：该研究包括45名患者，男性占主导地位（68.8%）。年龄从1天到15岁不等,平均1.54年。表现为急腹症（n=21）和慢性腹痛伴呕吐（n=24）。诊断是通过体检和成像确定的，包括上消化道造影和腹部超声检查。所有病人都接受了Ladd手术,有些人由于肠扭转而需要进行坏死肠切除。
结论：小儿肠旋转不良的诊断和治疗由于其多变的症状和可能危及生命的并发症而面临重大挑战。早期和准确的诊断，随后进行适当的手术管理，至关重要。这项研究强调了勤奋的术后随访对识别和减轻并发症的重要性。特别是在年轻和严重影响的患者。
