Malrotation volvulus in a neonate: a novel surgical approach
A newborn presented with bilious vomiting secondary to a malrotation and presumed perinatal-onset volvulus. Laparotomy was performed at 20 h of age at which the volvulus was derotated. Nevertheless the small but not the large bowel appeared to be completely ischaemic and non-viable. A second-look la...
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Veröffentlicht in: | Pediatric surgery international 2006-04, Vol.22 (4), p.393-394 |
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description | A newborn presented with bilious vomiting secondary to a malrotation and presumed perinatal-onset volvulus. Laparotomy was performed at 20 h of age at which the volvulus was derotated. Nevertheless the small but not the large bowel appeared to be completely ischaemic and non-viable. A second-look laparotomy was performed 24 h later with no significant improvement. In a new approach to the problem, nothing further was done and the child was left alone on parenteral nutrition and naso-gastric aspiration for 11 weeks. Further exploration showed that 40 cm of small bowel had survived intact and restorative surgery was carried out. Parenteral nutrition was discontinued after 9 months and the child, now aged 3.5 years, is thriving. |
doi_str_mv | 10.1007/s00383-005-1603-6 |
format | Article |
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Laparotomy was performed at 20 h of age at which the volvulus was derotated. Nevertheless the small but not the large bowel appeared to be completely ischaemic and non-viable. A second-look laparotomy was performed 24 h later with no significant improvement. In a new approach to the problem, nothing further was done and the child was left alone on parenteral nutrition and naso-gastric aspiration for 11 weeks. Further exploration showed that 40 cm of small bowel had survived intact and restorative surgery was carried out. Parenteral nutrition was discontinued after 9 months and the child, now aged 3.5 years, is thriving.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-005-1603-6</identifier><identifier>PMID: 16315036</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Digestive System Surgical Procedures - methods ; Female ; Follow-Up Studies ; Humans ; Infant, Newborn ; Intestinal Obstruction - etiology ; Intestinal Obstruction - surgery ; Intestinal Volvulus - surgery ; Intestine, Small - surgery ; Intubation, Gastrointestinal - methods ; Parenteral Nutrition - methods ; Vomiting - etiology</subject><ispartof>Pediatric surgery international, 2006-04, Vol.22 (4), p.393-394</ispartof><rights>Springer-Verlag 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-cb7621a9da5d332c93d6dd44f35e7c632a83776e5e305ac74d1adf632ce249803</citedby><cites>FETCH-LOGICAL-c355t-cb7621a9da5d332c93d6dd44f35e7c632a83776e5e305ac74d1adf632ce249803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16315036$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Houben, C H</creatorcontrib><creatorcontrib>Mitton, S</creatorcontrib><creatorcontrib>Capps, S</creatorcontrib><title>Malrotation volvulus in a neonate: a novel surgical approach</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><description>A newborn presented with bilious vomiting secondary to a malrotation and presumed perinatal-onset volvulus. Laparotomy was performed at 20 h of age at which the volvulus was derotated. Nevertheless the small but not the large bowel appeared to be completely ischaemic and non-viable. A second-look laparotomy was performed 24 h later with no significant improvement. In a new approach to the problem, nothing further was done and the child was left alone on parenteral nutrition and naso-gastric aspiration for 11 weeks. Further exploration showed that 40 cm of small bowel had survived intact and restorative surgery was carried out. Parenteral nutrition was discontinued after 9 months and the child, now aged 3.5 years, is thriving.</description><subject>Digestive System Surgical Procedures - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestinal Obstruction - surgery</subject><subject>Intestinal Volvulus - surgery</subject><subject>Intestine, Small - surgery</subject><subject>Intubation, Gastrointestinal - methods</subject><subject>Parenteral Nutrition - methods</subject><subject>Vomiting - etiology</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkM1LAzEQxYMotlb_AC-yePAWnexsPla8SPELKl70HNIk1S3bTU12C_73prQgeJpheO_N40fIOYNrBiBvEgAqpACcMgFIxQEZswolrRXDQzIGJmsKyNWInKS0BACFoj4mIyaQcUAxJnevpo2hN30TumIT2s3QDqlousIUnQ-d6f3tdg0b3xZpiJ-NNW1h1usYjP06JUcL0yZ_tp8T8vH48D59prO3p5fp_Yxa5Lyndi5FyUztDHeIpa3RCeeqaoHcSyuwNAqlFJ57BG6srBwzbpHv1pdVrQAn5GqXm99-Dz71etUk69vW5I5D0kIqxrjELLz8J1yGIXa5my7LUgJXWTUhbCeyMaQU_UKvY7My8Ucz0FuuesdVZ656y1WL7LnYBw_zlXd_jj1I_AV2XXHI</recordid><startdate>200604</startdate><enddate>200604</enddate><creator>Houben, C H</creator><creator>Mitton, S</creator><creator>Capps, S</creator><general>Springer Nature B.V</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200604</creationdate><title>Malrotation volvulus in a neonate: a novel surgical approach</title><author>Houben, C H ; 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Laparotomy was performed at 20 h of age at which the volvulus was derotated. Nevertheless the small but not the large bowel appeared to be completely ischaemic and non-viable. A second-look laparotomy was performed 24 h later with no significant improvement. In a new approach to the problem, nothing further was done and the child was left alone on parenteral nutrition and naso-gastric aspiration for 11 weeks. Further exploration showed that 40 cm of small bowel had survived intact and restorative surgery was carried out. Parenteral nutrition was discontinued after 9 months and the child, now aged 3.5 years, is thriving.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>16315036</pmid><doi>10.1007/s00383-005-1603-6</doi><tpages>2</tpages></addata></record> |
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subjects | Digestive System Surgical Procedures - methods Female Follow-Up Studies Humans Infant, Newborn Intestinal Obstruction - etiology Intestinal Obstruction - surgery Intestinal Volvulus - surgery Intestine, Small - surgery Intubation, Gastrointestinal - methods Parenteral Nutrition - methods Vomiting - etiology |
title | Malrotation volvulus in a neonate: a novel surgical approach |
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