Intestinal Malrotation Clinical Trial
Official title:
Prenatal Ultrasound Screening of Intestinal Malrotation With a Higher Risk of Volvulus: Value of The Relative Position of The Superior Mesenteric Artery and Vein. Future of the Children With an Antenatal Malrotation Suspicion
The aim of this study was to assess the value of an unusual relative position of the superior
mesenteric artery (SMA) and vein (SMV) to screen intestinal malrotation with a higher risk of
volvulus.
First, feasibility study was done to prove the reproducibility of ultrasound in diagnosis of
anormal mesenteric vessels position.
A systematic screening of the mesenteric vessels position was performed at each pregnancy
required ultrasound.
When the fœtus had an unusual position of the mesenteric vessels, an MRI was suggested
between 30 and 35 GA and the couple met the pediatric surgery team.
Few days after birth, an abdominal ultrasound was achieved as well as a barium enema and
upper gastrointestinal. If there were a hight probability of malrotation with a higher risk
of volvulus, a prophylactic surgery was proposed. The children were flollowed up during 1
year.
n/a