Long-term complications following intestinal malrotation and the Ladd's procedure: a 15 year review

Pediatric Surgery International
Feilim Liam Murphy, Anthony L Sparnon

Abstract

It is accepted that children with volvulus require urgent surgery. However the long term sequelae and late complications of its surgical therapy are less well understood. We hypothesised that the surgical corrected intestinal malrotation have significant long term impact on the patients quality of life. Forty-six children with intestinal malrotation were operated on at a tertiary referral centre over a fifteen year period. Their charts were retrospectively reviewed and the patients were contacted. The study revealed two distinct groups, those without complications 25 (54%) and those without 21 (46%). In the acute post operative period four (9%) patients had on going feeding difficulties and one (2%) developed chronic abdominal pain. However 12 (26%) required readmission within the first six months after the initial operation. Eleven (24%) patients were readmitted with acute bowel obstruction. Six (13%) patients required multiple admissions due to small bowel obstruction and six (13%) patients underwent further surgery for adhesion related obstruction. There were four (9%) deaths in the study group, three due to other medical conditions and one following small bowel obstruction. There was zero mortality immediately after the pri...Continue Reading

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Citations

Dec 12, 2007·Pediatric Surgery International·M KouwenbergL Kapusta
Sep 17, 2009·Pediatric Surgery International·Yousef El-GoharyJohn Gillick
Nov 22, 2008·Indian Journal of Pediatrics·A N GangopadhyayS P Sharma
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Dec 3, 2014·Seminars in Ultrasound, CT, and MR·Megan B Marine, Boaz Karmazyn
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Jan 18, 2015·The Annals of Thoracic Surgery·Shawndip SenGanga Krishnamurthy
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Jan 3, 2012·Journal of Surgical Education·Megan AddinkPeter Bistolarides
Sep 21, 2011·Journal of Pediatric Surgery·David M BikoRichard I Markowitz

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