Risk factors for intestinal gangrene in children with small-bowel volvulus

Journal of Pediatric Gastroenterology and Nutrition
Yu-Pi LinChih-Cheng Luo


Pediatric small-bowel volvulus (SBV) is a surgical emergency, and early diagnosis is difficult. We analyzed the clinical manifestations, imaging findings, and laboratory parameters in children with SBV and attempted to determine the risk factors for bowel gangrene. Forty-nine children (35 boys and 14 girls) with SBV who were admitted to the hospital for a period of 13 years were enrolled. Clinical and laboratory parameters and evaluation measures included fever, abdominal pain, vomiting, bloody stool, peritoneal signs, severe dehydration, disease duration, white blood cell counts, sugar, C-reactive protein (CRP), sodium, potassium, metabolic acidosis, blood urea nitrogen, and creatinine. These parameters were statistically compared between patients with and without bowel gangrene. Thirty-six patients (73.5%) were 5 years old or younger, and nearly half were younger than 1 year old. Abdominal pain and vomiting were 2 major symptoms. Malrotation was the most common cause of SBV. In univariate analysis, nonbilious vomiting, peritoneal signs, severe dehydration, leukocytosis (WBC count >18,000 cells/mm3), elevated CRP (>50 mg/dL), and hyponatremia (<130 mmol/L) were significantly associated with bowel gangrene (P < 0.05). In multiv...Continue Reading


Feb 1, 1978·Annals of Surgery·R H StewardsonL M Nyhus
Oct 1, 1978·Postgraduate Medical Journal·M P OsborneM Shalley
Jun 1, 1977·Archives of Surgery·J H Duke, M S Yar
May 1, 1976·British Medical Journal·L J De Souza
Oct 1, 1992·Journal of Pediatric Surgery·A MessineoR M Filler
Oct 1, 1992·American Journal of Surgery·H KusumotoK Sugimachi
Feb 11, 1992·Annals of Surgery·E G FordJ J Weitzman
Jan 1, 1992·Pediatric Radiology·D DufourN Perlmutter
Aug 1, 1989·Journal of Pediatric Surgery·D M PowellC D Smith
Nov 1, 1988·Annals of Surgery·R C FrazeeJ A van Heerden
Jun 1, 1987·The Surgical Clinics of North America·P Mucha
Jun 1, 1988·The British Journal of Surgery·D KumarC M Hall
Nov 1, 1980·Pediatric Radiology·M J SiegelW H McAlister
May 1, 1995·Journal of Pediatric Surgery·M Maung, H Saing
Apr 1, 1995·Seminars in Ultrasound, CT, and MR·D H Frager, J W Baer
Jan 1, 1993·Journal of Pediatric Surgery·W L ScheyJ R Sty
Jun 1, 1997·Radiology·M J SiegelC F Hildebolt
Apr 16, 1998·The European Journal of Surgery = Acta Chirurgica·E Gürleyik, G Gürleyik
Feb 9, 2000·Pediatric Surgery International·E A Ameh, P T Nmadu
May 26, 2001·Pediatric Radiology·L M AshleyR L Teele
Dec 5, 2003·Seminars in Pediatric Surgery·A J W MillarS Cywes
Nov 1, 1950·Annals of Surgery·W H MORETZ, J J MORTON
Oct 1, 2004·ANZ Journal of Surgery·Mehmet Hakan CevikelMuhan Erkus
May 3, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rebecca D MalloDavid R Flum
Jan 19, 2007·World Journal of Gastroenterology : WJG·Haridimos MarkogiannakisIoannis Bramis
Apr 8, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·E S DebusA Larena-Avellaneda

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