Nasriddin Shamsiddinovich Ergashev, Jamoliddin Bahronovich Sattarov


Abstract: Many aspects of surgical treatment of intestinal malrotation in children remain to be debatable. In the opinion of the majority of the specialists, surgical treatment is required after the diagnosis taking into account serious complications of intestinal malrotation.

Purpose. The purpose of this research was to conduct an analysis of surgical tactics and operative treatment method for isolated and associated intestinal malrotations in children.

Material and methods. We observed 123 children at the age of one day to 15 years with malrotation during the period of 2002 to 2013.

Results. We presented the data from observing 123 children at the age of one day to 15 years with various clinical-anatomic forms of intestinal malrotation over from 2002 to 2013. In 62 patients (50.4%), the evidences of the high intestinal obstruction were prevalent, while 61 (49.6%) showed signs of low intestinal obstruction. 116 patients (94,3%) were given operative intervention: radical – 95(81,9%) and palliative – 21 (18,1%). In 56 % of the cases, various simultaneous surgeries were required. There are proposed differential approaches in relation to anatomic form of malrotation and possibility of the fixation of large intestine in the physiological position.

Conclusion. The results obtained from the operative treatment are presented. The lethal outcomes could be reduced from 54.7%, among the patients being observed from 2002 to 2010, to 16,7% in patients being operated during 2011 to 2013.


intestine, malrotation, treatment, surgery, children

Full Text:



Emanuwa, O., Ayantunde, A., & Tony, D. (2011). Midgut malrotation first presenting as acute bowel obstruction in adulthood: a case report and literature review. World Journal of Emergency Surgery, 6, 6-22.

Hagendoorn, J., Travassos, D., & Zee, D. (2011). Laparoscopic treatment of intestinal malrotation in neonates and infants: retrospective study. Surgical Endoscopy, 25, 217-220.

Morozov, D., & Filippov, Yu. (2007). Redkoe cochetanie vrojdennogo hypertrophicheskogo pilorostenoza s malrotaciei dvenadcatiperstnoy kishki u novorojdennogo: analiz dvukh nabludeniy. [The rare association of the congenital hypertrophic pylorostenosi with duodenum malrotation in newborn: analysis of 2 cases]. Detskaya hirurgia: Moscow.

Nasir, A., Abdur-Rahman, L., & Adeniran, J. (2011). Outcomes of surgical treatment of malrotation in children. African Journal of Pediatric Surgery, 8, 8-11.

Osifo, O., & Okolo, C. (2009). Neonatal intestinal obstruction in Benin. Nigeria. African Journal of Pediatric Surgery, 2, 98-101.

Troy, L., Spilde, D., Peter, S., Keckler, G. W., Holcomb Ch. L., Snyder, D. J., & Ostlie, O. (2008). Laparoscopic repair of congenital duodenal obstructions: a concurrent series. Journal of Pediatric Surgery, 43, 1002-1005.



  • There are currently no refbacks.

Print ISSN 1804-5804, Online ISSN 1804-9702

(c) 2018 CBU,o.p.s.