Assessment of developmental and radiological long-term outcome of children with surgically treated midgut volvulus

Authors: AHMET MURAT ÇAKMAK, ÖZLEM BOYBEYİ TÜRER, GÜLNUR GÖLLÜ BAHADIR, BİLGE TÜREDİ, UFUK ATEŞ, ADALET ELÇİN YILDIZ, GONUL KUCUK, ÖMER SUAT FİTOZ, BETÜL ULUKOL, MUSTAFA KEMAL ASLAN, TUTKU SOYER, HÜSEYİN DİNDAR

Abstract: Background/aim: The aim is to evaluate the long-term outcome of asymptomatic patients who underwent surgical correction for midgut volvulus. Materials and methods: Seven patients managed surgically for midgut volvulus in the last 3 years were included. Demographic features, symptoms at presentation, diagnoses, surgical procedures, and complications were recorded. Patients were then contacted for followup and evaluation of long-term outcomes. General physical conditions, anthropometric parameters, feeding habits, and defecation histories were evaluated. Laboratory examinations were performed. Color Doppler ultrasonography (CDUS) was performed to evaluate blood flow in the superior mesenteric artery (SMA). Results: In total, seven patients were identified. The median age at admission was 3 days (0?90 days). Mean age at follow-up was 17 ± 2 months. Growth parameters were normal in all cases. Four patients had low levels of ferritin and transferrin saturation. One patient had microcytic anemia. Another patient had low serum zinc level. One patient who had ileal resection had a high level of steatorrhea in stool examination. In CDUS, SMA blood flow volume was low in all cases. Peak-systolic velocity and resistance index were low in all but one case. Conclusion: Despite uneventful postoperative courses, all patients operated on for midgut volvulus showed mild laboratory changes and decreased blood flow in the SMA in long-term follow-up.

Keywords: Intestinal malrotation, intestinal volvulus, long-term, midgut, outcome

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