The Risk of Midgut Volvulus in Patients with Abdominal Wall Defects: a Multi-Institutional Study
Abstract Background The management of malrotation in patients with congenital abdominal wall defects has varied among surgeons. We were interested in investigating the risk of midgut volvulus in patients with gastroschisis and omphalocele to help determine if these patients may benefit from undergoi...
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| Veröffentlicht in: | Journal of pediatric surgery 2017-01, Vol.52 (1), p.26-29 |
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| creator | Fawley, Jason A Abdelhafeez, Abdelhafeez H Schultz, Jessica A Ertl, Allison Cassidy, Laura D Peter, Shawn St Wagner, Amy J |
| description | Abstract Background The management of malrotation in patients with congenital abdominal wall defects has varied among surgeons. We were interested in investigating the risk of midgut volvulus in patients with gastroschisis and omphalocele to help determine if these patients may benefit from undergoing a Ladd procedure. Methods A retrospective chart review was performed for all patients managed at three institutions born between 1/1/2000 to 12/31/2008 with a diagnosis of gastroschisis or omphalocele. Patient charts were reviewed through 12/31/2012 for occurrence of midgut volvulus or need for second laparotomy. Results Of the 414 patients identified with abdominal wall defects, 299 patients (72%) had gastroschisis, and 115 patients (28%) had omphalocele. The mean gestational age at birth was 36.1 ± 2.3 weeks, and the mean birth weight was 2.57 ± 0.7. There were a total of 8 (1.9%) cases of midgut volvulus: 3 (1.0%) patients with gastroschisis compared to 5 patients (4.4%) with omphalocele (p = 0.04). Conclusions Patients with omphalocele have a greater risk of developing midgut volvulus, and a Ladd procedure should be considered during definitive repair to mitigate these risks. Level of Evidence III; Retrospective comparative study |
| doi_str_mv | 10.1016/j.jpedsurg.2016.10.014 |
| format | Article |
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We were interested in investigating the risk of midgut volvulus in patients with gastroschisis and omphalocele to help determine if these patients may benefit from undergoing a Ladd procedure. Methods A retrospective chart review was performed for all patients managed at three institutions born between 1/1/2000 to 12/31/2008 with a diagnosis of gastroschisis or omphalocele. Patient charts were reviewed through 12/31/2012 for occurrence of midgut volvulus or need for second laparotomy. Results Of the 414 patients identified with abdominal wall defects, 299 patients (72%) had gastroschisis, and 115 patients (28%) had omphalocele. The mean gestational age at birth was 36.1 ± 2.3 weeks, and the mean birth weight was 2.57 ± 0.7. There were a total of 8 (1.9%) cases of midgut volvulus: 3 (1.0%) patients with gastroschisis compared to 5 patients (4.4%) with omphalocele (p = 0.04). Conclusions Patients with omphalocele have a greater risk of developing midgut volvulus, and a Ladd procedure should be considered during definitive repair to mitigate these risks. Level of Evidence III; Retrospective comparative study</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2016.10.014</identifier><identifier>PMID: 27847120</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Birth Weight ; Digestive System Abnormalities - etiology ; Female ; Gastroschisis ; Gastroschisis - complications ; Gastroschisis - surgery ; Gestational Age ; Hernia, Umbilical - complications ; Hernia, Umbilical - surgery ; Humans ; Infant, Newborn ; Intestinal Volvulus - etiology ; Ladd procedure ; Male ; Midgut volvulus ; Omphalocele ; Pediatrics ; Retrospective Studies ; Risk Factors ; Surgery</subject><ispartof>Journal of pediatric surgery, 2017-01, Vol.52 (1), p.26-29</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-4142cf0d59d1b516fe96b1eda19721a457f16b982434ba4392556c27af125ef3</citedby><cites>FETCH-LOGICAL-c423t-4142cf0d59d1b516fe96b1eda19721a457f16b982434ba4392556c27af125ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022346816304754$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27847120$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fawley, Jason A</creatorcontrib><creatorcontrib>Abdelhafeez, Abdelhafeez H</creatorcontrib><creatorcontrib>Schultz, Jessica A</creatorcontrib><creatorcontrib>Ertl, Allison</creatorcontrib><creatorcontrib>Cassidy, Laura D</creatorcontrib><creatorcontrib>Peter, Shawn St</creatorcontrib><creatorcontrib>Wagner, Amy J</creatorcontrib><title>The Risk of Midgut Volvulus in Patients with Abdominal Wall Defects: a Multi-Institutional Study</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Abstract Background The management of malrotation in patients with congenital abdominal wall defects has varied among surgeons. We were interested in investigating the risk of midgut volvulus in patients with gastroschisis and omphalocele to help determine if these patients may benefit from undergoing a Ladd procedure. Methods A retrospective chart review was performed for all patients managed at three institutions born between 1/1/2000 to 12/31/2008 with a diagnosis of gastroschisis or omphalocele. Patient charts were reviewed through 12/31/2012 for occurrence of midgut volvulus or need for second laparotomy. Results Of the 414 patients identified with abdominal wall defects, 299 patients (72%) had gastroschisis, and 115 patients (28%) had omphalocele. The mean gestational age at birth was 36.1 ± 2.3 weeks, and the mean birth weight was 2.57 ± 0.7. There were a total of 8 (1.9%) cases of midgut volvulus: 3 (1.0%) patients with gastroschisis compared to 5 patients (4.4%) with omphalocele (p = 0.04). Conclusions Patients with omphalocele have a greater risk of developing midgut volvulus, and a Ladd procedure should be considered during definitive repair to mitigate these risks. Level of Evidence III; Retrospective comparative study</description><subject>Birth Weight</subject><subject>Digestive System Abnormalities - etiology</subject><subject>Female</subject><subject>Gastroschisis</subject><subject>Gastroschisis - complications</subject><subject>Gastroschisis - surgery</subject><subject>Gestational Age</subject><subject>Hernia, Umbilical - complications</subject><subject>Hernia, Umbilical - surgery</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intestinal Volvulus - etiology</subject><subject>Ladd procedure</subject><subject>Male</subject><subject>Midgut volvulus</subject><subject>Omphalocele</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgery</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi0EokvhL1Q-csni8Uey4YCoylelViC6gqNx7EnrrTfZxnbR_nscbcuBCyfLr56Z0TxDyAmwJTCo32yWmx26mKfrJS__Ei4ZyCdkAUpApZhonpIFY5xXQtarI_Iixg1jJWbwnBzxZiUb4GxBfq1vkH738ZaOPb307jon-mMM9znkSP1Av5nkcUiR_vbphp52btz6wQT604RAP2CPNsW31NDLHJKvzoeYfMrJjzNzlbLbvyTPehMivnp4j8n608f12Zfq4uvn87PTi8pKLlIlQXLbM6daB52Cuse27gCdgbbhYKRqeqi7dsWlkJ2RouVK1ZY3pgeusBfH5PWh7W4a7zLGpLc-WgzBDDjmqGElAQQTShW0PqB2GmOcsNe7yW_NtNfA9CxXb_SjXD3LnfMitxSePMzI3Rbd37JHmwV4fwCwLHrvcdLRFnsWnZ-KKO1G__8Z7_5pYYMfvDXhFvcYN2Oeitqyj45cM301n3i-MNSCyUZJ8QfbMKLF</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Fawley, Jason A</creator><creator>Abdelhafeez, Abdelhafeez H</creator><creator>Schultz, Jessica A</creator><creator>Ertl, Allison</creator><creator>Cassidy, Laura D</creator><creator>Peter, Shawn St</creator><creator>Wagner, Amy J</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170101</creationdate><title>The Risk of Midgut Volvulus in Patients with Abdominal Wall Defects: a Multi-Institutional Study</title><author>Fawley, Jason A ; Abdelhafeez, Abdelhafeez H ; Schultz, Jessica A ; Ertl, Allison ; Cassidy, Laura D ; Peter, Shawn St ; Wagner, Amy J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-4142cf0d59d1b516fe96b1eda19721a457f16b982434ba4392556c27af125ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Birth Weight</topic><topic>Digestive System Abnormalities - etiology</topic><topic>Female</topic><topic>Gastroschisis</topic><topic>Gastroschisis - complications</topic><topic>Gastroschisis - surgery</topic><topic>Gestational Age</topic><topic>Hernia, Umbilical - complications</topic><topic>Hernia, Umbilical - surgery</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intestinal Volvulus - etiology</topic><topic>Ladd procedure</topic><topic>Male</topic><topic>Midgut volvulus</topic><topic>Omphalocele</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fawley, Jason A</creatorcontrib><creatorcontrib>Abdelhafeez, Abdelhafeez H</creatorcontrib><creatorcontrib>Schultz, Jessica A</creatorcontrib><creatorcontrib>Ertl, Allison</creatorcontrib><creatorcontrib>Cassidy, Laura D</creatorcontrib><creatorcontrib>Peter, Shawn St</creatorcontrib><creatorcontrib>Wagner, Amy J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fawley, Jason A</au><au>Abdelhafeez, Abdelhafeez H</au><au>Schultz, Jessica A</au><au>Ertl, Allison</au><au>Cassidy, Laura D</au><au>Peter, Shawn St</au><au>Wagner, Amy J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Risk of Midgut Volvulus in Patients with Abdominal Wall Defects: a Multi-Institutional Study</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>52</volume><issue>1</issue><spage>26</spage><epage>29</epage><pages>26-29</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Abstract Background The management of malrotation in patients with congenital abdominal wall defects has varied among surgeons. We were interested in investigating the risk of midgut volvulus in patients with gastroschisis and omphalocele to help determine if these patients may benefit from undergoing a Ladd procedure. Methods A retrospective chart review was performed for all patients managed at three institutions born between 1/1/2000 to 12/31/2008 with a diagnosis of gastroschisis or omphalocele. Patient charts were reviewed through 12/31/2012 for occurrence of midgut volvulus or need for second laparotomy. Results Of the 414 patients identified with abdominal wall defects, 299 patients (72%) had gastroschisis, and 115 patients (28%) had omphalocele. The mean gestational age at birth was 36.1 ± 2.3 weeks, and the mean birth weight was 2.57 ± 0.7. There were a total of 8 (1.9%) cases of midgut volvulus: 3 (1.0%) patients with gastroschisis compared to 5 patients (4.4%) with omphalocele (p = 0.04). Conclusions Patients with omphalocele have a greater risk of developing midgut volvulus, and a Ladd procedure should be considered during definitive repair to mitigate these risks. Level of Evidence III; Retrospective comparative study</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27847120</pmid><doi>10.1016/j.jpedsurg.2016.10.014</doi><tpages>4</tpages></addata></record> |
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| subjects | Birth Weight Digestive System Abnormalities - etiology Female Gastroschisis Gastroschisis - complications Gastroschisis - surgery Gestational Age Hernia, Umbilical - complications Hernia, Umbilical - surgery Humans Infant, Newborn Intestinal Volvulus - etiology Ladd procedure Male Midgut volvulus Omphalocele Pediatrics Retrospective Studies Risk Factors Surgery |
| title | The Risk of Midgut Volvulus in Patients with Abdominal Wall Defects: a Multi-Institutional Study |
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