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[Abnormalities in positioning and shape of the intestines in children]
Zentralblatt Fur Chirurgie
|January 1, 1987
Insights
Intestinal malposition in children can lead to volvulus, ileus, and internal herniation. Early diagnosis and treatment are crucial to prevent complications like bacterial overgrowth and malabsorption.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Developmental biology
Context:
- Intestinal malposition is a congenital condition in children.
- It can lead to serious gastrointestinal complications if not adequately treated.
- Diagnosis is often delayed, with many cases identified during surgery.
Purpose:
- To highlight the potential consequences of untreated intestinal malposition.
- To emphasize the importance of surgical awareness for timely diagnosis.
- To underscore the need for prompt therapeutic intervention.
Summary:
- Intestinal malposition in childhood can result in volvulus, ileus, and internal herniation.
- Delayed treatment may lead to bacterial overgrowth, obstipation, diarrhea, and malabsorption.
- A significant proportion of these positional abnormalities are diagnosed intraoperatively, necessitating surgical preparedness.
Impact:
- Improved surgical preparedness for unexpected findings.
- Potential for earlier diagnosis and intervention in pediatric patients.
- Reduced long-term morbidity associated with untreated intestinal malposition.
Abstract:
Volvulus, ileus, and internal herniation may be consequences of intestinal malposition in childhood. Bacterial overgrowth, obstipation, diarrhoea, and malabsorption may additionally develop over time in the absence of adequate treatment. One in three positional abnormalities is diagnosed only intraoperatively. The surgeon has to expect such surprise findings as a condition for adequate therapeutic action.