Volvulus secondary to cystic ileal duplication: Importance of prenatal imaging and prompt post-natal intervention

Molinaro, Francesco; Bindi, Elena; Pellegrino, Chiara; Severi, Filiberto Maria; Bocchi, Caterina; Carbone, Francesco; Messina, Mario; Angotti, Rossella

doi:10.1016/j.epsc.2018.02.011

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…In a series of eight cases 9 of prenatal sonographic diagnosis of midgut volvulus, none had malrotation. Etiologies for volvulus include, other than malrotation, intestinal duplications, 10 cystic fibrosis, 11 and bowel atresia 12 Specific sonographic signs included the whirlpool sign and the coffee bean sign. The former was seen in 2/8 cases and the latter in one.…”

Section: Discussionmentioning

confidence: 99%

A unique sonographic presentation of prenatal volvulus associated with malrotation

Green

Chen

Mishael

et al. 2021

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

A unique sonographic presentation of prenatal volvulus associated with malrotation

Green

Chen

Mishael

et al. 2021

Clinical Case Reports

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“…The majority of stomas in neonatal period are temporary, but the timing of recanalization may be long, requiring several months. [1][2][3][4] Performing an enterostomy is not a surgery that is free from complications. In fact, a stoma influences the normal adaptation of bowel after birth and its natural process of growth (including intestinal dilation and lengthening, growth of the villi, alterations of motility, and hormonal changes) leading to problems such as dehydration, electrolyte imbalance, abnormal acid-base status, impairment in nutrients absorption, and poor growth.…”

Section: Introductionmentioning

confidence: 99%

Recycling of Stoma Losses: A Good Practice for Neonates with High Output Stomas—Our Experience and Comparison with Literature

Bindi

Molinaro

Ferrara

et al. 2020

Journal of Neonatology

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Introduction: The recycling of proximal stoma losses is known as a good practice to manage patients with high output stoma. In our center, we introduced this practice about 10 years ago. We revised our series before and after recycling protocol and we reviewed the literature. Methods: This is a retrospective study. We included all neonates who underwent ileostomy between 2000 and 2019. They were divided into two groups, Group A and Group B, before and after the introduction of recycling of stoma losses. Demographic data were included. Outcomes evaluated to demonstrate the efficacy of stools recycling were: weight at the time of anastomosis and at discharge, length of total parenteral nutrition, and time (expressed in days) between anastomosis and passage of the stools. Data were analyzed using Student’s t-test. P values <.05 were considered significant. Results: A total of 85 patients (29 females, 56 males) were included—Group A: 20 (24%) (13 males/7 females); Group B: 65 (76%) (43 males/22 females); Group A: 12/enterocolitis, 5/meconium-related ileum (MRI), 3/single intestinal perforation; Group B: 45 enterocolitis, 10/MRI, 8/single intestinal perforation, 1/an ileal atresia, 1/meconial peritonitis. Outcome about weight at anastomosis and discharge and about time of canalization were significant. Conclusion: We believe that the recycling of stoma losses is a safe and effective practice in neonates with ileostomy. Our technique of recycling is simple and practical. The benefit/risk rate is certain, in our opinion, in favor of the benefits as showed from our data.

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Volvulus secondary to cystic ileal duplication: Importance of prenatal imaging and prompt post-natal intervention

Cited by 2 publications

References 11 publications

A unique sonographic presentation of prenatal volvulus associated with malrotation

A unique sonographic presentation of prenatal volvulus associated with malrotation

Recycling of Stoma Losses: A Good Practice for Neonates with High Output Stomas—Our Experience and Comparison with Literature

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