Management and outcomes of gastric volvulus in children: a systematic review
Background Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 a...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
da Costa, Karina Miura [verfasserIn] Saxena, Amulya K. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2019 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Pediatrics - Springer-Verlag, 2008, 15(2019), 3 vom: 21. März, Seite 226-234 |
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| Übergeordnetes Werk: |
volume:15 ; year:2019 ; number:3 ; day:21 ; month:03 ; pages:226-234 |
| Links: |
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| DOI / URN: |
10.1007/s12519-019-00244-4 |
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SPR025997939 |
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| 520 | |a Background Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Results were presented as percentages and medians. Fisher’s exact test was used to evaluate categorical variables, and Bonferroni correction was applied for multiple comparisons. Results Ninety-seven papers with 125 patients were included. The median age was 24 months, with slightly female preponderance. Vomiting was the most common symptom and acute presentation occurred in the majority of cases. History of previous surgery/abdominal trauma was described in 12 and 3 children, respectively. Radiology was diagnostic for GV in most cases. The initial management was surgical in the majority of cases, with most of them including gastropexy, gastrostomy, or gastric resection. Mesenteroaxial GV was associated with acute presentation (P = 0.004) and the latter with ischemia (P < 0.01). Complications occurred in 23 (18.9%) children, esophageal stenosis being the most common. There were eight (6.4%) deaths, and only one recurrence 6 months after endoscopic management. The median follow-up period was 12 months. The inclusion of only case reports/case series, the incomplete reporting from papers, and the short follow-up were limitations of the study. Conclusions GV occurs at a median age of 24 months and requires high suspicion and prompt management, as mortality is considerable. The preferred surgical approach for GV includes variations of gastropexy. Esophageal stenosis is the most common morbidity post-GV management. | ||
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10.1007/s12519-019-00244-4 doi (DE-627)SPR025997939 (SPR)s12519-019-00244-4-e DE-627 ger DE-627 rakwb eng da Costa, Karina Miura verfasserin aut Management and outcomes of gastric volvulus in children: a systematic review 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Results were presented as percentages and medians. Fisher’s exact test was used to evaluate categorical variables, and Bonferroni correction was applied for multiple comparisons. Results Ninety-seven papers with 125 patients were included. The median age was 24 months, with slightly female preponderance. Vomiting was the most common symptom and acute presentation occurred in the majority of cases. History of previous surgery/abdominal trauma was described in 12 and 3 children, respectively. Radiology was diagnostic for GV in most cases. The initial management was surgical in the majority of cases, with most of them including gastropexy, gastrostomy, or gastric resection. Mesenteroaxial GV was associated with acute presentation (P = 0.004) and the latter with ischemia (P < 0.01). Complications occurred in 23 (18.9%) children, esophageal stenosis being the most common. There were eight (6.4%) deaths, and only one recurrence 6 months after endoscopic management. The median follow-up period was 12 months. The inclusion of only case reports/case series, the incomplete reporting from papers, and the short follow-up were limitations of the study. Conclusions GV occurs at a median age of 24 months and requires high suspicion and prompt management, as mortality is considerable. The preferred surgical approach for GV includes variations of gastropexy. Esophageal stenosis is the most common morbidity post-GV management. Gastrectomy (dpeaa)DE-He213 Gastric volvulus (dpeaa)DE-He213 Gastropexy (dpeaa)DE-He213 Gastrostomy (dpeaa)DE-He213 Volvulus (dpeaa)DE-He213 Saxena, Amulya K. verfasserin aut Enthalten in World Journal of Pediatrics Springer-Verlag, 2008 15(2019), 3 vom: 21. März, Seite 226-234 (DE-627)SPR02598876X nnns volume:15 year:2019 number:3 day:21 month:03 pages:226-234 https://dx.doi.org/10.1007/s12519-019-00244-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_21 GBV_ILN_31 GBV_ILN_40 GBV_ILN_61 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_66 GBV_ILN_69 GBV_ILN_92 GBV_ILN_135 GBV_ILN_181 GBV_ILN_192 GBV_ILN_211 GBV_ILN_252 AR 15 2019 3 21 03 226-234 |
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10.1007/s12519-019-00244-4 doi (DE-627)SPR025997939 (SPR)s12519-019-00244-4-e DE-627 ger DE-627 rakwb eng da Costa, Karina Miura verfasserin aut Management and outcomes of gastric volvulus in children: a systematic review 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Results were presented as percentages and medians. Fisher’s exact test was used to evaluate categorical variables, and Bonferroni correction was applied for multiple comparisons. Results Ninety-seven papers with 125 patients were included. The median age was 24 months, with slightly female preponderance. Vomiting was the most common symptom and acute presentation occurred in the majority of cases. History of previous surgery/abdominal trauma was described in 12 and 3 children, respectively. Radiology was diagnostic for GV in most cases. The initial management was surgical in the majority of cases, with most of them including gastropexy, gastrostomy, or gastric resection. Mesenteroaxial GV was associated with acute presentation (P = 0.004) and the latter with ischemia (P < 0.01). Complications occurred in 23 (18.9%) children, esophageal stenosis being the most common. There were eight (6.4%) deaths, and only one recurrence 6 months after endoscopic management. The median follow-up period was 12 months. The inclusion of only case reports/case series, the incomplete reporting from papers, and the short follow-up were limitations of the study. Conclusions GV occurs at a median age of 24 months and requires high suspicion and prompt management, as mortality is considerable. The preferred surgical approach for GV includes variations of gastropexy. Esophageal stenosis is the most common morbidity post-GV management. Gastrectomy (dpeaa)DE-He213 Gastric volvulus (dpeaa)DE-He213 Gastropexy (dpeaa)DE-He213 Gastrostomy (dpeaa)DE-He213 Volvulus (dpeaa)DE-He213 Saxena, Amulya K. verfasserin aut Enthalten in World Journal of Pediatrics Springer-Verlag, 2008 15(2019), 3 vom: 21. März, Seite 226-234 (DE-627)SPR02598876X nnns volume:15 year:2019 number:3 day:21 month:03 pages:226-234 https://dx.doi.org/10.1007/s12519-019-00244-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_21 GBV_ILN_31 GBV_ILN_40 GBV_ILN_61 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_66 GBV_ILN_69 GBV_ILN_92 GBV_ILN_135 GBV_ILN_181 GBV_ILN_192 GBV_ILN_211 GBV_ILN_252 AR 15 2019 3 21 03 226-234 |
| allfields_unstemmed |
10.1007/s12519-019-00244-4 doi (DE-627)SPR025997939 (SPR)s12519-019-00244-4-e DE-627 ger DE-627 rakwb eng da Costa, Karina Miura verfasserin aut Management and outcomes of gastric volvulus in children: a systematic review 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Results were presented as percentages and medians. Fisher’s exact test was used to evaluate categorical variables, and Bonferroni correction was applied for multiple comparisons. Results Ninety-seven papers with 125 patients were included. The median age was 24 months, with slightly female preponderance. Vomiting was the most common symptom and acute presentation occurred in the majority of cases. History of previous surgery/abdominal trauma was described in 12 and 3 children, respectively. Radiology was diagnostic for GV in most cases. The initial management was surgical in the majority of cases, with most of them including gastropexy, gastrostomy, or gastric resection. Mesenteroaxial GV was associated with acute presentation (P = 0.004) and the latter with ischemia (P < 0.01). Complications occurred in 23 (18.9%) children, esophageal stenosis being the most common. There were eight (6.4%) deaths, and only one recurrence 6 months after endoscopic management. The median follow-up period was 12 months. The inclusion of only case reports/case series, the incomplete reporting from papers, and the short follow-up were limitations of the study. Conclusions GV occurs at a median age of 24 months and requires high suspicion and prompt management, as mortality is considerable. The preferred surgical approach for GV includes variations of gastropexy. Esophageal stenosis is the most common morbidity post-GV management. Gastrectomy (dpeaa)DE-He213 Gastric volvulus (dpeaa)DE-He213 Gastropexy (dpeaa)DE-He213 Gastrostomy (dpeaa)DE-He213 Volvulus (dpeaa)DE-He213 Saxena, Amulya K. verfasserin aut Enthalten in World Journal of Pediatrics Springer-Verlag, 2008 15(2019), 3 vom: 21. März, Seite 226-234 (DE-627)SPR02598876X nnns volume:15 year:2019 number:3 day:21 month:03 pages:226-234 https://dx.doi.org/10.1007/s12519-019-00244-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_21 GBV_ILN_31 GBV_ILN_40 GBV_ILN_61 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_66 GBV_ILN_69 GBV_ILN_92 GBV_ILN_135 GBV_ILN_181 GBV_ILN_192 GBV_ILN_211 GBV_ILN_252 AR 15 2019 3 21 03 226-234 |
| allfieldsGer |
10.1007/s12519-019-00244-4 doi (DE-627)SPR025997939 (SPR)s12519-019-00244-4-e DE-627 ger DE-627 rakwb eng da Costa, Karina Miura verfasserin aut Management and outcomes of gastric volvulus in children: a systematic review 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Results were presented as percentages and medians. Fisher’s exact test was used to evaluate categorical variables, and Bonferroni correction was applied for multiple comparisons. Results Ninety-seven papers with 125 patients were included. The median age was 24 months, with slightly female preponderance. Vomiting was the most common symptom and acute presentation occurred in the majority of cases. History of previous surgery/abdominal trauma was described in 12 and 3 children, respectively. Radiology was diagnostic for GV in most cases. The initial management was surgical in the majority of cases, with most of them including gastropexy, gastrostomy, or gastric resection. Mesenteroaxial GV was associated with acute presentation (P = 0.004) and the latter with ischemia (P < 0.01). Complications occurred in 23 (18.9%) children, esophageal stenosis being the most common. There were eight (6.4%) deaths, and only one recurrence 6 months after endoscopic management. The median follow-up period was 12 months. The inclusion of only case reports/case series, the incomplete reporting from papers, and the short follow-up were limitations of the study. Conclusions GV occurs at a median age of 24 months and requires high suspicion and prompt management, as mortality is considerable. The preferred surgical approach for GV includes variations of gastropexy. Esophageal stenosis is the most common morbidity post-GV management. Gastrectomy (dpeaa)DE-He213 Gastric volvulus (dpeaa)DE-He213 Gastropexy (dpeaa)DE-He213 Gastrostomy (dpeaa)DE-He213 Volvulus (dpeaa)DE-He213 Saxena, Amulya K. verfasserin aut Enthalten in World Journal of Pediatrics Springer-Verlag, 2008 15(2019), 3 vom: 21. März, Seite 226-234 (DE-627)SPR02598876X nnns volume:15 year:2019 number:3 day:21 month:03 pages:226-234 https://dx.doi.org/10.1007/s12519-019-00244-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_21 GBV_ILN_31 GBV_ILN_40 GBV_ILN_61 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_66 GBV_ILN_69 GBV_ILN_92 GBV_ILN_135 GBV_ILN_181 GBV_ILN_192 GBV_ILN_211 GBV_ILN_252 AR 15 2019 3 21 03 226-234 |
| allfieldsSound |
10.1007/s12519-019-00244-4 doi (DE-627)SPR025997939 (SPR)s12519-019-00244-4-e DE-627 ger DE-627 rakwb eng da Costa, Karina Miura verfasserin aut Management and outcomes of gastric volvulus in children: a systematic review 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Results were presented as percentages and medians. Fisher’s exact test was used to evaluate categorical variables, and Bonferroni correction was applied for multiple comparisons. Results Ninety-seven papers with 125 patients were included. The median age was 24 months, with slightly female preponderance. Vomiting was the most common symptom and acute presentation occurred in the majority of cases. History of previous surgery/abdominal trauma was described in 12 and 3 children, respectively. Radiology was diagnostic for GV in most cases. The initial management was surgical in the majority of cases, with most of them including gastropexy, gastrostomy, or gastric resection. Mesenteroaxial GV was associated with acute presentation (P = 0.004) and the latter with ischemia (P < 0.01). Complications occurred in 23 (18.9%) children, esophageal stenosis being the most common. There were eight (6.4%) deaths, and only one recurrence 6 months after endoscopic management. The median follow-up period was 12 months. The inclusion of only case reports/case series, the incomplete reporting from papers, and the short follow-up were limitations of the study. Conclusions GV occurs at a median age of 24 months and requires high suspicion and prompt management, as mortality is considerable. The preferred surgical approach for GV includes variations of gastropexy. Esophageal stenosis is the most common morbidity post-GV management. Gastrectomy (dpeaa)DE-He213 Gastric volvulus (dpeaa)DE-He213 Gastropexy (dpeaa)DE-He213 Gastrostomy (dpeaa)DE-He213 Volvulus (dpeaa)DE-He213 Saxena, Amulya K. verfasserin aut Enthalten in World Journal of Pediatrics Springer-Verlag, 2008 15(2019), 3 vom: 21. März, Seite 226-234 (DE-627)SPR02598876X nnns volume:15 year:2019 number:3 day:21 month:03 pages:226-234 https://dx.doi.org/10.1007/s12519-019-00244-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_21 GBV_ILN_31 GBV_ILN_40 GBV_ILN_61 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_66 GBV_ILN_69 GBV_ILN_92 GBV_ILN_135 GBV_ILN_181 GBV_ILN_192 GBV_ILN_211 GBV_ILN_252 AR 15 2019 3 21 03 226-234 |
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This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Results were presented as percentages and medians. Fisher’s exact test was used to evaluate categorical variables, and Bonferroni correction was applied for multiple comparisons. Results Ninety-seven papers with 125 patients were included. The median age was 24 months, with slightly female preponderance. Vomiting was the most common symptom and acute presentation occurred in the majority of cases. History of previous surgery/abdominal trauma was described in 12 and 3 children, respectively. Radiology was diagnostic for GV in most cases. The initial management was surgical in the majority of cases, with most of them including gastropexy, gastrostomy, or gastric resection. Mesenteroaxial GV was associated with acute presentation (P = 0.004) and the latter with ischemia (P < 0.01). Complications occurred in 23 (18.9%) children, esophageal stenosis being the most common. There were eight (6.4%) deaths, and only one recurrence 6 months after endoscopic management. The median follow-up period was 12 months. The inclusion of only case reports/case series, the incomplete reporting from papers, and the short follow-up were limitations of the study. Conclusions GV occurs at a median age of 24 months and requires high suspicion and prompt management, as mortality is considerable. The preferred surgical approach for GV includes variations of gastropexy. 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Management and outcomes of gastric volvulus in children: a systematic review |
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management and outcomes of gastric volvulus in children: a systematic review |
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Management and outcomes of gastric volvulus in children: a systematic review |
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Background Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Results were presented as percentages and medians. Fisher’s exact test was used to evaluate categorical variables, and Bonferroni correction was applied for multiple comparisons. Results Ninety-seven papers with 125 patients were included. The median age was 24 months, with slightly female preponderance. Vomiting was the most common symptom and acute presentation occurred in the majority of cases. History of previous surgery/abdominal trauma was described in 12 and 3 children, respectively. Radiology was diagnostic for GV in most cases. The initial management was surgical in the majority of cases, with most of them including gastropexy, gastrostomy, or gastric resection. Mesenteroaxial GV was associated with acute presentation (P = 0.004) and the latter with ischemia (P < 0.01). Complications occurred in 23 (18.9%) children, esophageal stenosis being the most common. There were eight (6.4%) deaths, and only one recurrence 6 months after endoscopic management. The median follow-up period was 12 months. The inclusion of only case reports/case series, the incomplete reporting from papers, and the short follow-up were limitations of the study. Conclusions GV occurs at a median age of 24 months and requires high suspicion and prompt management, as mortality is considerable. The preferred surgical approach for GV includes variations of gastropexy. Esophageal stenosis is the most common morbidity post-GV management. |
| abstractGer |
Background Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Results were presented as percentages and medians. Fisher’s exact test was used to evaluate categorical variables, and Bonferroni correction was applied for multiple comparisons. Results Ninety-seven papers with 125 patients were included. The median age was 24 months, with slightly female preponderance. Vomiting was the most common symptom and acute presentation occurred in the majority of cases. History of previous surgery/abdominal trauma was described in 12 and 3 children, respectively. Radiology was diagnostic for GV in most cases. The initial management was surgical in the majority of cases, with most of them including gastropexy, gastrostomy, or gastric resection. Mesenteroaxial GV was associated with acute presentation (P = 0.004) and the latter with ischemia (P < 0.01). Complications occurred in 23 (18.9%) children, esophageal stenosis being the most common. There were eight (6.4%) deaths, and only one recurrence 6 months after endoscopic management. The median follow-up period was 12 months. The inclusion of only case reports/case series, the incomplete reporting from papers, and the short follow-up were limitations of the study. Conclusions GV occurs at a median age of 24 months and requires high suspicion and prompt management, as mortality is considerable. The preferred surgical approach for GV includes variations of gastropexy. Esophageal stenosis is the most common morbidity post-GV management. |
| abstract_unstemmed |
Background Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population. Methods MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Results were presented as percentages and medians. Fisher’s exact test was used to evaluate categorical variables, and Bonferroni correction was applied for multiple comparisons. Results Ninety-seven papers with 125 patients were included. The median age was 24 months, with slightly female preponderance. Vomiting was the most common symptom and acute presentation occurred in the majority of cases. History of previous surgery/abdominal trauma was described in 12 and 3 children, respectively. Radiology was diagnostic for GV in most cases. The initial management was surgical in the majority of cases, with most of them including gastropexy, gastrostomy, or gastric resection. Mesenteroaxial GV was associated with acute presentation (P = 0.004) and the latter with ischemia (P < 0.01). Complications occurred in 23 (18.9%) children, esophageal stenosis being the most common. There were eight (6.4%) deaths, and only one recurrence 6 months after endoscopic management. The median follow-up period was 12 months. The inclusion of only case reports/case series, the incomplete reporting from papers, and the short follow-up were limitations of the study. Conclusions GV occurs at a median age of 24 months and requires high suspicion and prompt management, as mortality is considerable. The preferred surgical approach for GV includes variations of gastropexy. Esophageal stenosis is the most common morbidity post-GV management. |
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