ArticlePediatric surgery international2025
The conservative approach for infantile gastric volvulus.
Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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4 authors.
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Abstract
objectivesThis study evaluates the outcomes of conservative management of chronic gastric volvulus in a series of neonates, with a focus on diagnostic and therapeutic approaches.
methodsA retrospective review was conducted on 13 patients diagnosed with chronic gastric volvulus between 2015 and 2024. The clinical and imaging data were analyzed, including age at diagnosis, sex, presenting symptoms, treatment type, and follow-up outcomes. Diagnosis was confirmed with contrast-enhanced upper gastrointestinal radiography. Conservative treatment involved gradual enteral feeding via orogastric tube, specific positional strategies, and total parenteral nutrition.
resultsOf the 13 patients (7 female, 6 male; mean age: 39.23 days), 12 were successfully managed conservatively, with only one requiring surgical gastropexy. The most common presenting symptom was non-bilious vomiting. The mean follow-up was 30.61 months (95% CI: 18.37-42.86 months) revealed all patients achieved weight above the 10th percentile. Conservative management showed a 90.9% success rate, significantly higher than previously reported rates.
conclusionChronic gastric volvulus, often misdiagnosed as GERD, requires clinical suspicion and contrast-enhanced imaging for accurate diagnosis. Conservative management is effective, reducing the need for surgical intervention when standardized protocols are applied.
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