Comparative study of intestinal malrotation in infant, children, and adult in a tertiary care center in India
Background Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults. Methods Data were collected from re...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Anand, Utpal [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2018 |
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| Schlagwörter: |
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| Anmerkung: |
© Indian Society of Gastroenterology 2018 |
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| Übergeordnetes Werk: |
Enthalten in: Indian Journal of Gastroenterology - Springer-Verlag, 2009, 37(2018), 6 vom: Nov., Seite 545-549 |
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| Übergeordnetes Werk: |
volume:37 ; year:2018 ; number:6 ; month:11 ; pages:545-549 |
| Links: |
|---|
| DOI / URN: |
10.1007/s12664-018-0914-1 |
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SPR026662485 |
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| 520 | |a Background Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults. Methods Data were collected from records of 79 patients with IM. Based on the age of presentation, these patients were categorized into three age groups: infants (up to 1 year), children (1–18 years), and adults (> 18 years). Follow up data were analyzed during 8 to 16 year after corrective surgery. Results The overall age of presentation ranged from 8 days to 60 years. Twenty-eight, 29, and 22 patients belonged to the infant, children, and adult groups, respectively. The classical presentation of IM (bilious vomiting) was significantly higher in the infant compared to the children and adult groups (100% vs. 62% vs. 9.8%; p < 0.001). All infants presented with acute symptoms. However, children and adults had subacute or chronic presentations, respectively. The incidence of volvulus was significantly higher in the infant group than other two groups, (100% vs. 41% vs. 10%; p < 0.001). Doppler ultrasound was highly accurate in infants (100%), whereas contrast-enhanced computed tomography (CECT) abdomen was found to be most useful in adults. Postoperative complications were more common in adults. Conclusion Intestinal malrotation can present in patients of any age group. An increased awareness about the atypical presentations of this condition among adults may reduce the time to accurate diagnosis of this disease. | ||
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| 700 | 1 | |a Kumar, Bindey |4 aut | |
| 700 | 1 | |a Kumar, Sanjay |4 aut | |
| 700 | 1 | |a Singh, Vijay Prakash |4 aut | |
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10.1007/s12664-018-0914-1 doi (DE-627)SPR026662485 (SPR)s12664-018-0914-1-e DE-627 ger DE-627 rakwb eng Anand, Utpal verfasserin aut Comparative study of intestinal malrotation in infant, children, and adult in a tertiary care center in India 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Society of Gastroenterology 2018 Background Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults. Methods Data were collected from records of 79 patients with IM. Based on the age of presentation, these patients were categorized into three age groups: infants (up to 1 year), children (1–18 years), and adults (> 18 years). Follow up data were analyzed during 8 to 16 year after corrective surgery. Results The overall age of presentation ranged from 8 days to 60 years. Twenty-eight, 29, and 22 patients belonged to the infant, children, and adult groups, respectively. The classical presentation of IM (bilious vomiting) was significantly higher in the infant compared to the children and adult groups (100% vs. 62% vs. 9.8%; p < 0.001). All infants presented with acute symptoms. However, children and adults had subacute or chronic presentations, respectively. The incidence of volvulus was significantly higher in the infant group than other two groups, (100% vs. 41% vs. 10%; p < 0.001). Doppler ultrasound was highly accurate in infants (100%), whereas contrast-enhanced computed tomography (CECT) abdomen was found to be most useful in adults. Postoperative complications were more common in adults. Conclusion Intestinal malrotation can present in patients of any age group. An increased awareness about the atypical presentations of this condition among adults may reduce the time to accurate diagnosis of this disease. Intestinal obstruction (dpeaa)DE-He213 Malrotation (dpeaa)DE-He213 Volvulus (dpeaa)DE-He213 Kumar, Ramesh aut Priyadarshi, Rajeev N. aut Kumar, Bindey aut Kumar, Sanjay aut Singh, Vijay Prakash aut Enthalten in Indian Journal of Gastroenterology Springer-Verlag, 2009 37(2018), 6 vom: Nov., Seite 545-549 (DE-627)SPR02665167X nnns volume:37 year:2018 number:6 month:11 pages:545-549 https://dx.doi.org/10.1007/s12664-018-0914-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2018 6 11 545-549 |
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10.1007/s12664-018-0914-1 doi (DE-627)SPR026662485 (SPR)s12664-018-0914-1-e DE-627 ger DE-627 rakwb eng Anand, Utpal verfasserin aut Comparative study of intestinal malrotation in infant, children, and adult in a tertiary care center in India 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Society of Gastroenterology 2018 Background Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults. Methods Data were collected from records of 79 patients with IM. Based on the age of presentation, these patients were categorized into three age groups: infants (up to 1 year), children (1–18 years), and adults (> 18 years). Follow up data were analyzed during 8 to 16 year after corrective surgery. Results The overall age of presentation ranged from 8 days to 60 years. Twenty-eight, 29, and 22 patients belonged to the infant, children, and adult groups, respectively. The classical presentation of IM (bilious vomiting) was significantly higher in the infant compared to the children and adult groups (100% vs. 62% vs. 9.8%; p < 0.001). All infants presented with acute symptoms. However, children and adults had subacute or chronic presentations, respectively. The incidence of volvulus was significantly higher in the infant group than other two groups, (100% vs. 41% vs. 10%; p < 0.001). Doppler ultrasound was highly accurate in infants (100%), whereas contrast-enhanced computed tomography (CECT) abdomen was found to be most useful in adults. Postoperative complications were more common in adults. Conclusion Intestinal malrotation can present in patients of any age group. An increased awareness about the atypical presentations of this condition among adults may reduce the time to accurate diagnosis of this disease. Intestinal obstruction (dpeaa)DE-He213 Malrotation (dpeaa)DE-He213 Volvulus (dpeaa)DE-He213 Kumar, Ramesh aut Priyadarshi, Rajeev N. aut Kumar, Bindey aut Kumar, Sanjay aut Singh, Vijay Prakash aut Enthalten in Indian Journal of Gastroenterology Springer-Verlag, 2009 37(2018), 6 vom: Nov., Seite 545-549 (DE-627)SPR02665167X nnns volume:37 year:2018 number:6 month:11 pages:545-549 https://dx.doi.org/10.1007/s12664-018-0914-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2018 6 11 545-549 |
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10.1007/s12664-018-0914-1 doi (DE-627)SPR026662485 (SPR)s12664-018-0914-1-e DE-627 ger DE-627 rakwb eng Anand, Utpal verfasserin aut Comparative study of intestinal malrotation in infant, children, and adult in a tertiary care center in India 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Society of Gastroenterology 2018 Background Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults. Methods Data were collected from records of 79 patients with IM. Based on the age of presentation, these patients were categorized into three age groups: infants (up to 1 year), children (1–18 years), and adults (> 18 years). Follow up data were analyzed during 8 to 16 year after corrective surgery. Results The overall age of presentation ranged from 8 days to 60 years. Twenty-eight, 29, and 22 patients belonged to the infant, children, and adult groups, respectively. The classical presentation of IM (bilious vomiting) was significantly higher in the infant compared to the children and adult groups (100% vs. 62% vs. 9.8%; p < 0.001). All infants presented with acute symptoms. However, children and adults had subacute or chronic presentations, respectively. The incidence of volvulus was significantly higher in the infant group than other two groups, (100% vs. 41% vs. 10%; p < 0.001). Doppler ultrasound was highly accurate in infants (100%), whereas contrast-enhanced computed tomography (CECT) abdomen was found to be most useful in adults. Postoperative complications were more common in adults. Conclusion Intestinal malrotation can present in patients of any age group. An increased awareness about the atypical presentations of this condition among adults may reduce the time to accurate diagnosis of this disease. Intestinal obstruction (dpeaa)DE-He213 Malrotation (dpeaa)DE-He213 Volvulus (dpeaa)DE-He213 Kumar, Ramesh aut Priyadarshi, Rajeev N. aut Kumar, Bindey aut Kumar, Sanjay aut Singh, Vijay Prakash aut Enthalten in Indian Journal of Gastroenterology Springer-Verlag, 2009 37(2018), 6 vom: Nov., Seite 545-549 (DE-627)SPR02665167X nnns volume:37 year:2018 number:6 month:11 pages:545-549 https://dx.doi.org/10.1007/s12664-018-0914-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2018 6 11 545-549 |
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10.1007/s12664-018-0914-1 doi (DE-627)SPR026662485 (SPR)s12664-018-0914-1-e DE-627 ger DE-627 rakwb eng Anand, Utpal verfasserin aut Comparative study of intestinal malrotation in infant, children, and adult in a tertiary care center in India 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Society of Gastroenterology 2018 Background Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults. Methods Data were collected from records of 79 patients with IM. Based on the age of presentation, these patients were categorized into three age groups: infants (up to 1 year), children (1–18 years), and adults (> 18 years). Follow up data were analyzed during 8 to 16 year after corrective surgery. Results The overall age of presentation ranged from 8 days to 60 years. Twenty-eight, 29, and 22 patients belonged to the infant, children, and adult groups, respectively. The classical presentation of IM (bilious vomiting) was significantly higher in the infant compared to the children and adult groups (100% vs. 62% vs. 9.8%; p < 0.001). All infants presented with acute symptoms. However, children and adults had subacute or chronic presentations, respectively. The incidence of volvulus was significantly higher in the infant group than other two groups, (100% vs. 41% vs. 10%; p < 0.001). Doppler ultrasound was highly accurate in infants (100%), whereas contrast-enhanced computed tomography (CECT) abdomen was found to be most useful in adults. Postoperative complications were more common in adults. Conclusion Intestinal malrotation can present in patients of any age group. An increased awareness about the atypical presentations of this condition among adults may reduce the time to accurate diagnosis of this disease. Intestinal obstruction (dpeaa)DE-He213 Malrotation (dpeaa)DE-He213 Volvulus (dpeaa)DE-He213 Kumar, Ramesh aut Priyadarshi, Rajeev N. aut Kumar, Bindey aut Kumar, Sanjay aut Singh, Vijay Prakash aut Enthalten in Indian Journal of Gastroenterology Springer-Verlag, 2009 37(2018), 6 vom: Nov., Seite 545-549 (DE-627)SPR02665167X nnns volume:37 year:2018 number:6 month:11 pages:545-549 https://dx.doi.org/10.1007/s12664-018-0914-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2018 6 11 545-549 |
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10.1007/s12664-018-0914-1 doi (DE-627)SPR026662485 (SPR)s12664-018-0914-1-e DE-627 ger DE-627 rakwb eng Anand, Utpal verfasserin aut Comparative study of intestinal malrotation in infant, children, and adult in a tertiary care center in India 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Society of Gastroenterology 2018 Background Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults. Methods Data were collected from records of 79 patients with IM. Based on the age of presentation, these patients were categorized into three age groups: infants (up to 1 year), children (1–18 years), and adults (> 18 years). Follow up data were analyzed during 8 to 16 year after corrective surgery. Results The overall age of presentation ranged from 8 days to 60 years. Twenty-eight, 29, and 22 patients belonged to the infant, children, and adult groups, respectively. The classical presentation of IM (bilious vomiting) was significantly higher in the infant compared to the children and adult groups (100% vs. 62% vs. 9.8%; p < 0.001). All infants presented with acute symptoms. However, children and adults had subacute or chronic presentations, respectively. The incidence of volvulus was significantly higher in the infant group than other two groups, (100% vs. 41% vs. 10%; p < 0.001). Doppler ultrasound was highly accurate in infants (100%), whereas contrast-enhanced computed tomography (CECT) abdomen was found to be most useful in adults. Postoperative complications were more common in adults. Conclusion Intestinal malrotation can present in patients of any age group. An increased awareness about the atypical presentations of this condition among adults may reduce the time to accurate diagnosis of this disease. Intestinal obstruction (dpeaa)DE-He213 Malrotation (dpeaa)DE-He213 Volvulus (dpeaa)DE-He213 Kumar, Ramesh aut Priyadarshi, Rajeev N. aut Kumar, Bindey aut Kumar, Sanjay aut Singh, Vijay Prakash aut Enthalten in Indian Journal of Gastroenterology Springer-Verlag, 2009 37(2018), 6 vom: Nov., Seite 545-549 (DE-627)SPR02665167X nnns volume:37 year:2018 number:6 month:11 pages:545-549 https://dx.doi.org/10.1007/s12664-018-0914-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 37 2018 6 11 545-549 |
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Comparative study of intestinal malrotation in infant, children, and adult in a tertiary care center in India |
| abstract |
Background Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults. Methods Data were collected from records of 79 patients with IM. Based on the age of presentation, these patients were categorized into three age groups: infants (up to 1 year), children (1–18 years), and adults (> 18 years). Follow up data were analyzed during 8 to 16 year after corrective surgery. Results The overall age of presentation ranged from 8 days to 60 years. Twenty-eight, 29, and 22 patients belonged to the infant, children, and adult groups, respectively. The classical presentation of IM (bilious vomiting) was significantly higher in the infant compared to the children and adult groups (100% vs. 62% vs. 9.8%; p < 0.001). All infants presented with acute symptoms. However, children and adults had subacute or chronic presentations, respectively. The incidence of volvulus was significantly higher in the infant group than other two groups, (100% vs. 41% vs. 10%; p < 0.001). Doppler ultrasound was highly accurate in infants (100%), whereas contrast-enhanced computed tomography (CECT) abdomen was found to be most useful in adults. Postoperative complications were more common in adults. Conclusion Intestinal malrotation can present in patients of any age group. An increased awareness about the atypical presentations of this condition among adults may reduce the time to accurate diagnosis of this disease. © Indian Society of Gastroenterology 2018 |
| abstractGer |
Background Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults. Methods Data were collected from records of 79 patients with IM. Based on the age of presentation, these patients were categorized into three age groups: infants (up to 1 year), children (1–18 years), and adults (> 18 years). Follow up data were analyzed during 8 to 16 year after corrective surgery. Results The overall age of presentation ranged from 8 days to 60 years. Twenty-eight, 29, and 22 patients belonged to the infant, children, and adult groups, respectively. The classical presentation of IM (bilious vomiting) was significantly higher in the infant compared to the children and adult groups (100% vs. 62% vs. 9.8%; p < 0.001). All infants presented with acute symptoms. However, children and adults had subacute or chronic presentations, respectively. The incidence of volvulus was significantly higher in the infant group than other two groups, (100% vs. 41% vs. 10%; p < 0.001). Doppler ultrasound was highly accurate in infants (100%), whereas contrast-enhanced computed tomography (CECT) abdomen was found to be most useful in adults. Postoperative complications were more common in adults. Conclusion Intestinal malrotation can present in patients of any age group. An increased awareness about the atypical presentations of this condition among adults may reduce the time to accurate diagnosis of this disease. © Indian Society of Gastroenterology 2018 |
| abstract_unstemmed |
Background Intestinal malrotation (IM) is an uncommon condition and has varied presentation in different age groups. The study was aimed to evaluate differences in the clinical presentation, diagnosis, treatment, and outcome of IM in infants, children, and adults. Methods Data were collected from records of 79 patients with IM. Based on the age of presentation, these patients were categorized into three age groups: infants (up to 1 year), children (1–18 years), and adults (> 18 years). Follow up data were analyzed during 8 to 16 year after corrective surgery. Results The overall age of presentation ranged from 8 days to 60 years. Twenty-eight, 29, and 22 patients belonged to the infant, children, and adult groups, respectively. The classical presentation of IM (bilious vomiting) was significantly higher in the infant compared to the children and adult groups (100% vs. 62% vs. 9.8%; p < 0.001). All infants presented with acute symptoms. However, children and adults had subacute or chronic presentations, respectively. The incidence of volvulus was significantly higher in the infant group than other two groups, (100% vs. 41% vs. 10%; p < 0.001). Doppler ultrasound was highly accurate in infants (100%), whereas contrast-enhanced computed tomography (CECT) abdomen was found to be most useful in adults. Postoperative complications were more common in adults. Conclusion Intestinal malrotation can present in patients of any age group. An increased awareness about the atypical presentations of this condition among adults may reduce the time to accurate diagnosis of this disease. © Indian Society of Gastroenterology 2018 |
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Comparative study of intestinal malrotation in infant, children, and adult in a tertiary care center in India |
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https://dx.doi.org/10.1007/s12664-018-0914-1 |
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| author2 |
Kumar, Ramesh Priyadarshi, Rajeev N. Kumar, Bindey Kumar, Sanjay Singh, Vijay Prakash |
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Kumar, Ramesh Priyadarshi, Rajeev N. Kumar, Bindey Kumar, Sanjay Singh, Vijay Prakash |
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10.1007/s12664-018-0914-1 |
| up_date |
2024-07-03T22:00:18.874Z |
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