Distinguishing outcomes of neonatal intestinal volvulus: review of our experience over the last 20 years

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  • dc.contributor.author Maya-Enero, Silvia
  • dc.contributor.author Prat-Ortells, Jordi
  • dc.contributor.author Martín-Solé, Oriol
  • dc.contributor.author Haro-Jorge, Irene de
  • dc.contributor.author Pertierra-Cortada, Àfrica
  • dc.contributor.author Iriondo-Sanz, Martín
  • dc.date.accessioned 2022-04-29T06:41:48Z
  • dc.date.available 2022-04-29T06:41:48Z
  • dc.date.issued 2022
  • dc.description.abstract Aim: There are two types of intestinal volvulus: midgut (MGV) and segmental (SV). Patients with different types of intestinal volvulus are often included in the same case series, which may affect the perception of how severe "intestinal volvuli" are. We aimed to compare both types of intestinal volvulus. Methods: This is a retrospective observational study including all patients with MGV and SV up to 28 days of life admitted to a tertiary hospital in Spain over a 20-year-period (1999-2019). A comparison between groups and a logistic regression model for mortality were done. Results: We identified 32 patients: 23 MGV and 9 SV. Malrotation was exclusive of MGV. Prenatal diagnosis, cystic fibrosis, and intestinal resection were significantly more frequent in SV. Surgery was performed at a significantly lower age in SV. The mortality observed in acute MGV with intestinal compromise (41.7%) is four times higher than the mortality of SV (11.1%). The overall mortality of all MGV patients (21.7%) is almost twice that of SV. Mortality was best predicted by the presence of hemodynamic instability (OR 27.5 95% CI 2.50-302.17; p = 0.007). Conclusion: SV and MGV have a different clinical presentation. Hemodynamic instability is the major risk factor for death.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Maya-Enero S, Prat-Ortells J, Martín-Solé O, De Haro-Jorge I, Pertierra-Cortada À, Iriondo-Sanz M. Distinguishing outcomes of neonatal intestinal volvulus: review of our experience over the last 20 years. Acta Paediatr. 2022 Feb; 111(2): 284-90. DOI: 10.1111/apa.16167
  • dc.identifier.doi http://dx.doi.org/10.1111/apa.16167
  • dc.identifier.issn 0803-5253
  • dc.identifier.uri http://hdl.handle.net/10230/52933
  • dc.language.iso eng
  • dc.publisher Wiley
  • dc.rights This is the peer reviewed version of the following article: Maya-Enero S, Prat-Ortells J, Martín-Solé O, De Haro-Jorge I, Pertierra-Cortada À, Iriondo-Sanz M. Distinguishing outcomes of neonatal intestinal volvulus: review of our experience over the last 20 years. Acta Paediatr. 2022 Feb; 111(2): 284-90, which has been published in final form at http://dx.doi.org/10.1111/apa.16167. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.subject.keyword Hemodynamic instability
  • dc.subject.keyword Intestinal volvulus
  • dc.subject.keyword Midgut volvulus
  • dc.subject.keyword Neonate
  • dc.subject.keyword Segmental volvulus
  • dc.title Distinguishing outcomes of neonatal intestinal volvulus: review of our experience over the last 20 years
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/acceptedVersion

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