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

研究成果: 雜誌貢獻文章同行評審

11 引文 斯高帕斯(Scopus)

摘要

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 (

原文英語
頁(從 - 到)417-422
頁數6
期刊Journal of Pediatric Gastroenterology and Nutrition
53
發行號4
DOIs
出版狀態已發佈 - 10月 2011
對外發佈

ASJC Scopus subject areas

  • 消化內科
  • 兒科、圍產兒和兒童健康

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