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Midgut malfixation in patients with congenital diaphragmatic hernia: what is the risk of midgut volvulus?

作者信息

Levin T L, Liebling M S, Ruzal-Shapiro C, Berdon W E, Stolar C J

机构信息

Department of Pediatric Radiology, Columbia-Presbyterian Medical Center, Babies and Children's Hospital, New York, NY 10032, USA.

出版信息

Pediatr Radiol. 1995;25(4):259-61. doi: 10.1007/BF02011092.

DOI:10.1007/BF02011092
PMID:7567230
Abstract

Twenty-four patients with repaired diaphragmatic hernia had upper gastrointestinal series to assess the rotation and fixation of the bowel. A spectrum of rotational abnormalities was present in almost all patients, although those with repaired right-sided hernias demonstrated a more obvious anomaly of rotation than those with repaired left-sided hernias. No patient developed a midgut volvulus despite the presence of malfixation. Postoperative adhesions likely limit the occurrence of volvulus.

摘要

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本文引用的文献

1
Esophageal dilatation and reflux in neonates supported by ECMO after diaphragmatic hernia repair.先天性膈疝修补术后接受体外膜肺氧合支持的新生儿的食管扩张和反流
AJR Am J Roentgenol. 1988 Jul;151(1):135-7. doi: 10.2214/ajr.151.1.135.
2
Anatomic and functional abnormalities of the esophagus in infants surviving congenital diaphragmatic hernia.先天性膈疝存活婴儿食管的解剖和功能异常。
Am J Surg. 1990 Feb;159(2):204-7. doi: 10.1016/s0002-9610(05)80261-2.
3
Anomalies of intestinal rotation in childhood: analysis of 447 cases.儿童期肠旋转异常:447例分析。
Disorders of intestinal rotation and fixation ("malrotation").肠道旋转和固定异常(“旋转不良”)。
Pediatr Radiol. 2004 Nov;34(11):837-51. doi: 10.1007/s00247-004-1279-4. Epub 2004 Sep 4.
Surgery. 1990 Oct;108(4):710-5; discussion 715-6.