Evidence map›Paper›PMID 41820968›Full record

ReviewBMC pediatrics2026

Volvulus in very-low-birth-weight preterm infants enrolled in the German Neonatal Network: prevalence, mortality, and outcome.

Bastian Siller, Mats Ingmar Fortmann, Henry Kipke, Martina Kohl-Sobiana, Kianusch Tafazzoli-Lari, Wolfgang Göpel, Guido Stichtenoth

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Bastian SillerDepartment of Pediatrics, University Hospital Schleswig-Holstein, University of Lübeck, Ratzeburger Allee 160, Lübeck, 23538, Germany.
Mats Ingmar FortmannDepartment of Pediatrics, University Hospital Schleswig-Holstein, University of Lübeck, Ratzeburger Allee 160, Lübeck, 23538, Germany.
Henry KipkeDepartment of Pediatrics, University Hospital Schleswig-Holstein, University of Lübeck, Ratzeburger Allee 160, Lübeck, 23538, Germany.
Martina Kohl-SobianaDepartment of Pediatrics, University Hospital Schleswig-Holstein, University of Lübeck, Ratzeburger Allee 160, Lübeck, 23538, Germany.
Kianusch Tafazzoli-LariDepartment of Pediatric Surgery, University of Lübeck, Ratzeburger Allee 160, Lübeck, 23538, Germany.
Wolfgang GöpelDepartment of Pediatrics, University Hospital Schleswig-Holstein, University of Lübeck, Ratzeburger Allee 160, Lübeck, 23538, Germany.
Guido StichtenothDepartment of Pediatrics, University Hospital Schleswig-Holstein, University of Lübeck, Ratzeburger Allee 160, Lübeck, 23538, Germany. guido.stichtenoth@uksh.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVolvulus is an emergency condition, but data on its prevalence and outcome in preterm infants are scarce.

methodsWe analysed data from the German Neonatal Network and conducted structured literature review on the primary hospital stay of very-low-birth-weight infants who underwent surgery for volvulus. Infants who underwent surgery for focal intestinal perforation and/or necrotising enterocolitis served as a comparison group.

resultsNine relevant publications involving 97 preterm infants with volvulus were identified, revealing a wide range of postnatal onset and a mortality rate of 15.2%. The prevalence of volvulus was 123/23,652 (0.5%) according to the German Neonatal Network, which was significantly lower than the prevalence of necrotising enterocolitis and/or focal intestinal perforation. The volvulus group had a significantly higher proportion of female premature infants than the groups with necrotising enterocolitis or focal intestinal perforation. Most operations for volvulus were performed after the 20th day of life. Preterm infants who underwent surgery for volvulus had significantly less intraventricular haemorrhage and faster feeding than did those with necrotising enterocolitis and/or focal intestinal perforation. Notably, however, perioperative mortality was highest in the volvulus group. Furthermore, mortality until discharge was significantly greater in the necrotising enterocolitis group (24%) than in the volvulus group (15%).

conclusionVolvulus occurs in five out of 1,000 very-low-birth-weight infants, particularly in those requiring immediate surgery after 20 days of age. CATEGORY: A prospective multicentre clinical cohort study.

Indexed as

Infant, Premature, DiseasesInfant, Very Low Birth WeightIntestinal VolvulusEnterocolitis, NecrotizingFemaleGermanyHumansInfant, NewbornInfant, PrematureIntestinal PerforationLength of StayMalePrevalenceTreatment OutcomeOutcomePeriod of occurrencePrevalenceVery-low-birth-weight infantsVolvulus

Identifiers

PMID41820968
PMCPMC13064028

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.