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Risk Factors for Intestinal Obstruction After Ladd Procedure

Intestinal obstruction is a common complication after Ladd procedure. Ninety-three cases who had undergone the Ladd procedure between 1977 and 2013 treated at our own institution were retrospectively reviewed to identify the causes and risk factors for intestinal obstruction. The Ladd procedure has...

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Autores principales: Mitsunaga, Tetsuya, Saito, Takeshi, Terui, Keita, Nakata, Mitsuyuki, Ohno, Sachie, Mise, Naoko, Oita, Satoru, Yoshida, Hideo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508621/
https://www.ncbi.nlm.nih.gov/pubmed/26266030
http://dx.doi.org/10.4081/pr.2015.5795
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author Mitsunaga, Tetsuya
Saito, Takeshi
Terui, Keita
Nakata, Mitsuyuki
Ohno, Sachie
Mise, Naoko
Oita, Satoru
Yoshida, Hideo
author_facet Mitsunaga, Tetsuya
Saito, Takeshi
Terui, Keita
Nakata, Mitsuyuki
Ohno, Sachie
Mise, Naoko
Oita, Satoru
Yoshida, Hideo
author_sort Mitsunaga, Tetsuya
collection PubMed
description Intestinal obstruction is a common complication after Ladd procedure. Ninety-three cases who had undergone the Ladd procedure between 1977 and 2013 treated at our own institution were retrospectively reviewed to identify the causes and risk factors for intestinal obstruction. The Ladd procedure has been performed without any intestinal fixing. Of the 87 cases who survived to discharge, intestinal obstruction was observed in 22 (25.3%). Among the cases with intestinal obstruction, 13 (59.1%) showed intestinal ischemia at the initial operation; this incidence was notably high, although it is low when only those cases with another concurrent surgical digestive disease are considered. All cases of intestinal obstruction were caused not by recurrent volvulus, but by adhesion between the intestine and the mesentery. Intestinal fixing is not required to prevent recurrent volvulus, but it is important to achieve adequate widening of the mesenteric base. The risk of intestinal obstruction after the Ladd procedure, on the other hand, is high. Moreover, patients with intestinal ischemia have an increased risk of intestinal obstruction.
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spelling pubmed-45086212015-08-11 Risk Factors for Intestinal Obstruction After Ladd Procedure Mitsunaga, Tetsuya Saito, Takeshi Terui, Keita Nakata, Mitsuyuki Ohno, Sachie Mise, Naoko Oita, Satoru Yoshida, Hideo Pediatr Rep Article Intestinal obstruction is a common complication after Ladd procedure. Ninety-three cases who had undergone the Ladd procedure between 1977 and 2013 treated at our own institution were retrospectively reviewed to identify the causes and risk factors for intestinal obstruction. The Ladd procedure has been performed without any intestinal fixing. Of the 87 cases who survived to discharge, intestinal obstruction was observed in 22 (25.3%). Among the cases with intestinal obstruction, 13 (59.1%) showed intestinal ischemia at the initial operation; this incidence was notably high, although it is low when only those cases with another concurrent surgical digestive disease are considered. All cases of intestinal obstruction were caused not by recurrent volvulus, but by adhesion between the intestine and the mesentery. Intestinal fixing is not required to prevent recurrent volvulus, but it is important to achieve adequate widening of the mesenteric base. The risk of intestinal obstruction after the Ladd procedure, on the other hand, is high. Moreover, patients with intestinal ischemia have an increased risk of intestinal obstruction. PAGEPress Publications, Pavia, Italy 2015-05-25 /pmc/articles/PMC4508621/ /pubmed/26266030 http://dx.doi.org/10.4081/pr.2015.5795 Text en ©Copyright T. Mitsunaga et al. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Article
Mitsunaga, Tetsuya
Saito, Takeshi
Terui, Keita
Nakata, Mitsuyuki
Ohno, Sachie
Mise, Naoko
Oita, Satoru
Yoshida, Hideo
Risk Factors for Intestinal Obstruction After Ladd Procedure
title Risk Factors for Intestinal Obstruction After Ladd Procedure
title_full Risk Factors for Intestinal Obstruction After Ladd Procedure
title_fullStr Risk Factors for Intestinal Obstruction After Ladd Procedure
title_full_unstemmed Risk Factors for Intestinal Obstruction After Ladd Procedure
title_short Risk Factors for Intestinal Obstruction After Ladd Procedure
title_sort risk factors for intestinal obstruction after ladd procedure
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508621/
https://www.ncbi.nlm.nih.gov/pubmed/26266030
http://dx.doi.org/10.4081/pr.2015.5795
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