Intestinal ischemia secondary to volvulus of gastroschisis within a silo: detection, confirmation and reversal of near infra-red spectroscopy detected O2 saturation

A neonate with gastroschisis had silo placement and near-infrared spectroscopy (NIRS) monitoring of intestinal haemoglobin oxygen saturation (RSO 2 ). An ischemic loop of bowel demonstrated decreased RSO 2 , with reversal of clinical ischemia and RSO 2 postoperatively. This demonstrates possible adv...

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Veröffentlicht in:	Pediatric surgery international 2014-11, Vol.30 (11), p.1173-1176
Hauptverfasser:	McHoney, Merrill, Munro, Fraser
Format:	Artikel
Sprache:	eng
Schlagworte:	Case Report Female Gastroschisis - blood Gastroschisis - complications Gastroschisis - surgery Humans Infant, Newborn Intestinal Volvulus - blood Intestinal Volvulus - complications Intestines - blood supply Intestines - metabolism Ischemia Medicine Medicine & Public Health Monitoring, Physiologic - methods Oxygen - blood Pediatric Surgery Pediatrics Spectroscopy, Near-Infrared - methods Surgery Vascular Diseases - blood Vascular Diseases - complications Vascular Diseases - diagnosis
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Zusammenfassung:	A neonate with gastroschisis had silo placement and near-infrared spectroscopy (NIRS) monitoring of intestinal haemoglobin oxygen saturation (RSO 2 ). An ischemic loop of bowel demonstrated decreased RSO 2 , with reversal of clinical ischemia and RSO 2 postoperatively. This demonstrates possible advantage of monitoring intestinal RSO 2 in neonates at risk of ischemia, and response to intervention.
ISSN:	0179-0358 1437-9813
DOI:	10.1007/s00383-014-3591-x