Skip to main content
Erschienen in: European Journal of Pediatrics 4/2009

01.04.2009 | Original Paper

Gastric organo-axial malrotation coexisting respiratory symptoms

verfasst von: Mehmet Kose, Sevgi Pekcan, Nural Kiper, Sinem Akgul, Nazan Cobanoglu, Ebru Yalcin, Deniz Dogru, Ugur Ozcelik, Mithat Haliloglu, Mehmet Emin Senocak

Erschienen in: European Journal of Pediatrics | Ausgabe 4/2009

Einloggen, um Zugang zu erhalten

Abstract

Gastric malrotation is defined as a torsion of stomach around its short or long axis. It is a rare disease in childhood. Gastric malrotation may present either as a surgical emergency or as chronic abdominal symptoms. There is limited data about the respiratory symptoms associated with gastric malrotation. The aim of this study was to review the records of 14 children who presented with respiratory symptoms and diagnosed as gastric organo-axial malrotation. Between August 2005 and August 2007, 14 children diagnosed as having gastric organo-axial malrotation participated in this study. There were 11 boys and three girls with a mean age of 7.1 months. All patients were symptomatic. Presenting symptoms included wheezing in four patients, recurrent pneumonia in four, chronic cough in two, chronic cough and apnea in two, recurrent pneumonia and chronic cough in one, and chronic cough and failure to thrive in one. All of our patients had organo-axial gastric malrotation. Gastroesophageal reflux was found in nine patients (64.2%). Six patients were treated with surgery and antireflux medication and the remaining eight patients with antireflux medication. In conclusion, it is probable that gastric malrotation associated with massive or occult gastroesophageal reflux could be responsible for the respiratory symptoms such as chronic cough, recurrent pneumonia, wheezing, and apnea.
Literatur
1.
Zurück zum Zitat Al-Salem AH (2007) Acute and chronic gastric volvulus in infants and children: who should be treated surgically? Pediatr Surg Int 23:1095–1099PubMedCrossRef Al-Salem AH (2007) Acute and chronic gastric volvulus in infants and children: who should be treated surgically? Pediatr Surg Int 23:1095–1099PubMedCrossRef
2.
Zurück zum Zitat Andiran F, Tanyel FC, Balanci F, Hicsonmez A (1995) Acute abdomen due to gastric volvulus: diagnostic value of a single plain radiograph. Pediatr Radiol 25(supp 11):S240PubMed Andiran F, Tanyel FC, Balanci F, Hicsonmez A (1995) Acute abdomen due to gastric volvulus: diagnostic value of a single plain radiograph. Pediatr Radiol 25(supp 11):S240PubMed
3.
Zurück zum Zitat Berti A (1866) Singolare attortigliamento dell’esofago col duodeno sequito da rapida morte. Gazz Med Ital 9:139–41 Berti A (1866) Singolare attortigliamento dell’esofago col duodeno sequito da rapida morte. Gazz Med Ital 9:139–41
4.
Zurück zum Zitat Darani A, Mendoza-Sagaon M, Reinberg O (2005) Gastric volvulus in children. J Pediatr Surg 40:855–858PubMedCrossRef Darani A, Mendoza-Sagaon M, Reinberg O (2005) Gastric volvulus in children. J Pediatr Surg 40:855–858PubMedCrossRef
5.
Zurück zum Zitat Demeester TR, Bonavina L, Iascone C, Courtney JV, Skinner DB (1990) Chronic respiratory symptoms and occult gastroesophageal reflux. A prospective clinical study and results of surgical therapy. Ann Surg 211:337–345PubMedCrossRef Demeester TR, Bonavina L, Iascone C, Courtney JV, Skinner DB (1990) Chronic respiratory symptoms and occult gastroesophageal reflux. A prospective clinical study and results of surgical therapy. Ann Surg 211:337–345PubMedCrossRef
6.
Zurück zum Zitat Fontana GA, Pistolesi M (2003) Chronic cough and gastro-oesophageal reflux. Thorax 58:1092–1095PubMedCrossRef Fontana GA, Pistolesi M (2003) Chronic cough and gastro-oesophageal reflux. Thorax 58:1092–1095PubMedCrossRef
7.
Zurück zum Zitat Jolley SG, Lorenz ML, Hendrickson M, Kurlinski P (1999) Esophageal pH monitoring abnormalities and gastroesophageal reflux disease in infants with intestinal malrotation. Arch Surg 134:747–753PubMedCrossRef Jolley SG, Lorenz ML, Hendrickson M, Kurlinski P (1999) Esophageal pH monitoring abnormalities and gastroesophageal reflux disease in infants with intestinal malrotation. Arch Surg 134:747–753PubMedCrossRef
8.
Zurück zum Zitat Mayo A, Erez I, Lazar L, Rathaus V, Konen O, Freud E (2001) Volvulus of the stomach in childhood: the spectrum of the disease. Pediatr Emerg Care 17:344–348PubMedCrossRef Mayo A, Erez I, Lazar L, Rathaus V, Konen O, Freud E (2001) Volvulus of the stomach in childhood: the spectrum of the disease. Pediatr Emerg Care 17:344–348PubMedCrossRef
9.
Zurück zum Zitat McCallion WA, Potts SR, Wallace EC (1992) Chronic organoaxial malrotation of the stomach in childhood. Eur J Pediatr Surg 2:365–367PubMedCrossRef McCallion WA, Potts SR, Wallace EC (1992) Chronic organoaxial malrotation of the stomach in childhood. Eur J Pediatr Surg 2:365–367PubMedCrossRef
10.
Zurück zum Zitat Miller DL, Pasquale MD, Seneca RP (1991) Gastric volvulus in the pediatric population. Arch Surg 126:1146–1149PubMed Miller DL, Pasquale MD, Seneca RP (1991) Gastric volvulus in the pediatric population. Arch Surg 126:1146–1149PubMed
11.
Zurück zum Zitat Milne LN, Hunter JJ (1994) Gastric volvulus: 2 cases and review of the literature. J Emerg Med 12:299–306PubMedCrossRef Milne LN, Hunter JJ (1994) Gastric volvulus: 2 cases and review of the literature. J Emerg Med 12:299–306PubMedCrossRef
12.
Zurück zum Zitat Samuel M, Burge DM, Griffiths DM (1995) Gastric volvulus and associated gastroesophageal reflux. Arch Dis Child 73:462–464PubMedCrossRef Samuel M, Burge DM, Griffiths DM (1995) Gastric volvulus and associated gastroesophageal reflux. Arch Dis Child 73:462–464PubMedCrossRef
13.
Zurück zum Zitat Senocak ME, Buyukpamukcu N, Hicsonmez A (1990) Chronic gastric volvulus in children. A ten year experience. Z Kinderchir 45:159–163PubMed Senocak ME, Buyukpamukcu N, Hicsonmez A (1990) Chronic gastric volvulus in children. A ten year experience. Z Kinderchir 45:159–163PubMed
14.
Zurück zum Zitat Singleton AC (1940) Chronic gastric volvulus. Radiology 34:53–61 Singleton AC (1940) Chronic gastric volvulus. Radiology 34:53–61
15.
Zurück zum Zitat Tanner N (1968) Chronic and recurrent volvulus of the stomach. Am J Surg 115:105–109 Tanner N (1968) Chronic and recurrent volvulus of the stomach. Am J Surg 115:105–109
Metadaten
Titel
Gastric organo-axial malrotation coexisting respiratory symptoms
verfasst von
Mehmet Kose
Sevgi Pekcan
Nural Kiper
Sinem Akgul
Nazan Cobanoglu
Ebru Yalcin
Deniz Dogru
Ugur Ozcelik
Mithat Haliloglu
Mehmet Emin Senocak
Publikationsdatum
01.04.2009
Verlag
Springer-Verlag
Erschienen in
European Journal of Pediatrics / Ausgabe 4/2009
Print ISSN: 0340-6199
Elektronische ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-008-0777-z

Weitere Artikel der Ausgabe 4/2009

European Journal of Pediatrics 4/2009 Zur Ausgabe

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.