{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:23:28Z","timestamp":1791242608063,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1993,5,1]],"date-time":"1993-05-01T00:00:00Z","timestamp":736214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1993,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Malrotation of the intestinal tract is a product of a well defined aberrant embryology. Because the consequences of malrotation associated with a midgut volvulus may be catastrophic, an understanding of the anatomy, diagnostic criteria, and appropriate therapy for this putative emergency illness is imperative. This report summarizes a recent 18\u2010month experience with this diagnosis and contrasts this experience with that in the published literature. More than half (14\/22) of the patients presented during the first month of life, and all had vomiting, which in most cases was bilious. The barium upper gastrointestinal series was the preferred diagnostic study, being both sensitive (18\/19, 95%) and accurate (18\/21, 86%). In this series two\u2010thirds of the patients presented with volvulus (15\/22, 68%) of whom five had ischemic intestine requiring resection. One of these children died of overwhelming sepsis. A Ladd procedure was the preferred treatment, which as defined by us includes evisceration and inspection of the mesenteric root, counterclockwise derotation of a midgut volvulus, lysis of Ladd's bands with straightening of the duodenum along the right abdominal gutter, inversion\u2010ligation appendectomy, and placement of the cecum into the left lower quadrant. A high index of suspicion in the neonate with vomiting, rapid diagnosis, and appropriate operative therapy results in a predictable favorable outcome for children with intestinal malrotatioh<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01658699","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T13:17:02Z","timestamp":1115558222000},"page":"326-331","source":"Crossref","is-referenced-by-count":254,"title":["Malrotation of the intestine"],"prefix":"10.1002","volume":"17","author":[{"given":"A. Margarita","family":"Torres","sequence":"first","affiliation":[{"name":"Department of Surgery and Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA"},{"name":"Department of Surgery Children's Hospital Medical Center Elland and Bethesda Avenues 45229 Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz M.","family":"Ziegler","sequence":"additional","affiliation":[{"name":"Department of Surgery and Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA"},{"name":"Department of Surgery Children's Hospital Medical Center Elland and Bethesda Avenues 45229 Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1993,5]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM193610152151604"},{"key":"e_1_2_1_3_1","first-page":"197","article-title":"Development of the human intestine and its position in the adult","volume":"9","author":"Mall F.T.","year":"1898","journal-title":"Bull Johns Hopkins Hosp."},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800114207"},{"key":"e_1_2_1_5_1","first-page":"75","article-title":"On the factors concerned in causing rotation of the intestine in man","volume":"50","author":"Frazer J.E.","year":"1915","journal-title":"J. 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