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

• Published in: Turkish journal of medical sciences Vol. 47; no. 2; pp. 633 - 637
• Main Authors: Çakmak, Ahmet Murat, Boybeyi Türer, Özlem, Göllü Bahadir, Gülnur, Türedi, Bilge, Ateş, Ufuk, Yildiz, Adalet Elçin, Küçük, Gönül, Fitöz, Ömer Suat, Ulukol, Betül, Aslan, Mustafa Kemal, Soyer, Tutku, Dindar, Hüseyin
• Format: Journal Article
• Language: English
• Published: Turkey 18-04-2017
• Subjects: Child, Preschool; Digestive System Abnormalities - diagnostic imaging; Digestive System Abnormalities - physiopathology; Digestive System Abnormalities - surgery; Female; Follow-Up Studies; Humans; Infant; Infant, Newborn; Intestinal Volvulus - diagnostic imaging; Intestinal Volvulus - physiopathology; Intestinal Volvulus - surgery; Male; Mesenteric Artery, Superior - diagnostic imaging; Mesenteric Artery, Superior - growth & development; Regional Blood Flow - physiology; Treatment Outcome
• ISSN: 1300-0144; 1303-6165
• DOI: 10.3906/sag-1512-89

The aim is to evaluate the long-term outcome of asymptomatic patients who underwent surgical correction for midgut volvulus.
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 follow-up 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).
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.
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.