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Intestinal rotation anomalies in childhood: review of 22 years' experience

ZekerIya Ilçe1, Sinan CelayIr, Fatih Akova

  • 1Department of Pediatric Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

Surgery Today
|December 12, 2003
PubMed

Insights

Surgery for intestinal rotation anomalies in infants and children, particularly neonates, carries significant risks. Emergency procedures in newborns showed higher morbidity and mortality compared to older children.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Intestinal rotation anomalies are congenital conditions requiring surgical intervention.
  • Early diagnosis and treatment are crucial for favorable outcomes.

Purpose of the Study:

  • To review surgical treatment outcomes for intestinal rotation anomalies in infants and children.
  • To compare complications and mortality across different age groups.

Main Methods:

  • Retrospective review of 101 patients treated between 1978 and 2000.
  • Patients categorized into three age groups: neonates (<1 month), infants (<1 year), and children (>1 year).
  • Analysis of surgical procedures, postoperative complications, and mortality rates.

Main Results:

  • 72% of patients were neonates; 84% required emergency surgery.
  • Ladd's operation was the primary procedure.
  • Common complications included adhesive intestinal obstruction and short bowel syndrome.
  • Mortality rates were 36% (neonates), 20% (infants), and 0% (children).

Conclusions:

  • Emergency surgery for intestinal rotation anomalies is common.
  • Neonates face significantly higher morbidity and mortality risks compared to older children.
Abstract

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