Management and outcomes of gastric volvulus in children: a systematic review

作     者：Karina Miura da Costa Amulya K.Saxena 

作者机构：Department of Pediatric SurgeryChelsea Children’s HospitalChelsea and Westminster NHS Foundation TrustImperial College LondonLondonUnited Kingdom Division of Pediatric SurgeryDepartment of Anatomy and SurgeryRibeirao Preto Medical SchoolUniversity of Sao Paulo.Ribeirao Pr&o.Brazil 

出 版 物：《World Journal of Pediatrics》 (世界儿科杂志（英文版）)

年 卷 期：2019年第15卷第3期

页      面：226-234页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Gastrectomy Gastric volvulus Gastropexy Gastrostomy Volvulus 

摘      要：Background Gastric volvulus (GV) in children is a rare *** study reviewed management and outcomes of GV in the pediatric *** MEDLINE/PubMed,Embase,and Google Scholar databases were searched for studies in English regarding GV in patients 18 years old between 2008 and 2017,selected by two *** were presented as percentages and *** s exact test was used to evaluate categorical variables,and Bonferroni correction was applied for multiple *** Ninety-seven papers with 125 patients were *** median age was 24 months,with slightly female *** was the most common symptom and acute presentation occurred in the majority of *** of previous surgery/abdominal trauma was described in 12 and 3 children,*** was diagnostic for GV in most *** initial management was surgical in the majority of cases,with most of them including gastropexy,gastrostomy,or gastric *** GV was associated with acute presentation (P =0.004) and the latter with ischemia (P 0.01).Complications occurred in 23 (18.9%) children,esophageal stenosis being the most *** were eight (6.4%) deaths,and only one recurrence 6 months after endoscopic *** median follow-up period was 12 *** inclusion of only case reports/case series,the incomplete reporting from papers,and the short followup were limitations of the *** GV occurs at a median age of 24 months and requires high suspicion and prompt management,as mortality is *** preferred surgical approach for GV includes variations of *** stenosis is the most common morbidity post-GV management.