Abstract:
:Midgut volvulus due to malrotation may result in loss of the small bowel. Until now, after derotation of the volvulus, pediatric surgeons do not deal with the mesenteric thrombosis, which causes continuing ischemia of the intestine. On occasion, a "second look" laparotomy is performed in the hope that some improvement in blood supply to the intestine has occurred. We describe a new combined treatment to restore intestinal perfusion based on digital massage of the superior mesenteric vessels after derotation and systemic infusion of tissue-type plasminogen activator. This new therapy has been successful in 2 neonates with severe intestinal ischemia due to volvulus.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Kiely EM,Pierro A,Pierce C,Cross K,De Coppi Pdoi
10.1542/peds.2011-2115subject
Has Abstractpub_date
2012-06-01 00:00:00pages
e1601-4issue
6eissn
0031-4005issn
1098-4275pii
peds.2011-2115journal_volume
129pub_type
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