دورية أكاديمية
أعرض في EDS

Notable Clinical Differences Between Neonatal and Post-Neonatal Intestinal Malrotation: A Multicenter Review in Southern Japan.

التفاصيل البيبلوغرافية
العنوان: Notable Clinical Differences Between Neonatal and Post-Neonatal Intestinal Malrotation: A Multicenter Review in Southern Japan.
المؤلفون: Kedoin C; Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan., Muto M; Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan. Electronic address: mitsuru@m3.kufm.kagoshima-u.ac.jp., Nagano A; Department of Pediatric Surgery, Kagoshima City Hospital, Kagoshima, Japan., Matsui M; Department of Pediatric Surgery, Kagoshima City Hospital, Kagoshima, Japan., Sugita K; Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan., Baba T; Department of Digestive and General Surgery, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan., Miyoshi K; Department of Pediatric Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan., Masuya R; Division of the Gastrointestinal, Endocrine, and Pediatric Surgery, Department of Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan., Murakami M; Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan., Yano K; Department of Neonatology, Perinatal Medical Center, Kagoshima City Hospital, Kagoshima, Japan., Onishi S; Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan., Harumatsu T; Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan., Yamada W; Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan., Yamada K; Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan., Matsukubo M; Department of Pediatric Surgery, Kagoshima City Hospital, Kagoshima, Japan., Kawano T; Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan., Kuda M; Department of Digestive and General Surgery, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan., Nakame K; Division of the Gastrointestinal, Endocrine, and Pediatric Surgery, Department of Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan., Torikai M; Department of Pediatric Surgery, Kagoshima City Hospital, Kagoshima, Japan., Ieiri S; Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan.
المصدر: Journal of pediatric surgery [J Pediatr Surg] 2024 Apr; Vol. 59 (4), pp. 566-570. Date of Electronic Publication: 2023 Dec 02.
نوع المنشور: Multicenter Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Saunders Country of Publication: United States NLM ID: 0052631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-5037 (Electronic) Linking ISSN: 00223468 NLM ISO Abbreviation: J Pediatr Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Philadelphia, PA : Saunders
Original Publication: New York.
مواضيع طبية MeSH: Intestinal Volvulus*/diagnosis , Intestinal Volvulus*/epidemiology , Intestinal Volvulus*/surgery , Digestive System Abnormalities*, Infant ; Infant, Newborn ; Child ; Humans ; Retrospective Studies ; Japan/epidemiology ; Vomiting/epidemiology ; Vomiting/etiology
مستخلص: Background: Most cases of intestinal malrotation appear in neonates with bilious vomiting due to midgut volvulus, whereas in cases that develop beyond infancy, the initial symptoms vary. This study investigated the clinical features of these two populations and identified issues that should be considered in daily practice.
Methods: A retrospective chart review was conducted from January 1, 2010, to December 31, 2022. Data on patients with intestinal malrotation were collected in an anonymized fashion from five pediatric surgical hub facilities in the Southern Kyushu and Okinawa areas of Japan.
Results: Of the 80 subjects, 57 (71.3%) were neonates (Group N) and 23 (28.7%) were infants and schoolchildren (Group I). The frequencies of initial symptoms, such as abdominal distention (Group N: 19.3% vs. Group I: 13.0%), bilious vomiting (59.6% vs. 43.5%), and hematochezia (8.8% vs. 21.7%), were not skewed by the age of onset (p = 0.535, 0.087, and 0.141, respectively). Midgut volvulus was significantly more frequent in Group N (71.9% [41/57] vs. 34.8% [8/23]; p = 0.005), while the degree of torsion was greater in group I (median 360° [interquartile range: 180-360°] vs. 450° [360-540°]; p = 0.029). Although the bowel resection rate was equivalent (7.0% [4/57] vs. 4.3% [1/23]; p = 1.000), half of the patients in Group N presented with 180° torsion. The neonatal intestine has been highlighted as being more susceptible to ischemia than that in older children.
Conclusions: The incidence of midgut volvulus is higher in neonates than in older children. Even relatively mild torsion can cause ischemic bowel changes during the neonatal period.
Level of Evidence: LEVEL III.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Bilious vomiting; Bowel resection; Intestinal malrotation; Intestinal necrosis; Midgut volvulus; Neonates
SCR Disease Name: Volvulus Of Midgut
تواريخ الأحداث: Date Created: 20231225 Date Completed: 20240408 Latest Revision: 20240424
رمز التحديث: 20240425
DOI: 10.1016/j.jpedsurg.2023.11.020
PMID: 38145920
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-5037
DOI:10.1016/j.jpedsurg.2023.11.020