Risk factors for intestinal gangrene in children with small-bowel volvulus

Yu Pi Lin, Jung Lee, Hsun Chin Chao, Man Shan Kong, Ming Wei Lai, Chien Chang Chen, Shih Yen Chen, Chih Cheng Luo

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objectives: Pediatric small-bowel volvulus (SBV) is a surgical emergency, and early diagnosis is difficult. We analyzed the clinical manifestations, imaging findings, and laboratory parameters in children with SBV and attempted to determine the risk factors for bowel gangrene. Patients and Methods: Forty-nine children (35 boys and 14 girls) with SBV who were admitted to the hospital for a period of 13 years were enrolled. Clinical and laboratory parameters and evaluation measures included fever, abdominal pain, vomiting, bloody stool, peritoneal signs, severe dehydration, disease duration, white blood cell counts, sugar, C-reactive protein (CRP), sodium, potassium, metabolic acidosis, blood urea nitrogen, and creatinine. These parameters were statistically compared between patients with and without bowel gangrene. Results: Thirty-six patients (73.5%) were 5 years old or younger, and nearly half were younger than 1 year old. Abdominal pain and vomiting were 2 major symptoms. Malrotation was the most common cause of SBV. In univariate analysis, nonbilious vomiting, peritoneal signs, severe dehydration, leukocytosis (WBC count >18,000cells/mm), elevated CRP (>50mg/dL), and hyponatremia (

Original languageEnglish
Pages (from-to)417-422
Number of pages6
JournalJournal of Pediatric Gastroenterology and Nutrition
Volume53
Issue number4
DOIs
Publication statusPublished - Oct 2011
Externally publishedYes

Keywords

  • bowel resection
  • children
  • intestinal gangrene
  • small-bowel volvulus

ASJC Scopus subject areas

  • Gastroenterology
  • Pediatrics, Perinatology, and Child Health

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  • Cite this

    Lin, Y. P., Lee, J., Chao, H. C., Kong, M. S., Lai, M. W., Chen, C. C., Chen, S. Y., & Luo, C. C. (2011). Risk factors for intestinal gangrene in children with small-bowel volvulus. Journal of Pediatric Gastroenterology and Nutrition, 53(4), 417-422. https://doi.org/10.1097/MPG.0b013e3182201a7c