surgery-congress-2019-scientifictracks

Note:

Surgery Congress 2019

Journal of Advanced Surgical Research | ISSN: 2591-7765 | Volume 3

Page 28

July 22-23, 2019 | Brussels, Belgium

OF EXCELLENCE

IN INTERNATIONAL

MEETINGS

YEARS

SURGERY AND

TRANSPLANTATION

International Conference and Expo on

ACHIEVING ENTERAL AUTONOMY IN SHORT GUT SECONDARY TO OMENTAL CYST

CAUSING MIDGUT VOLVULUS

Vikrant K, Balgopal Eradi

and

AnneWillmott

Leicester Royal Infirmary, UK

our year boy was referred with an acute surgical abdomen without bilious vomiting. He had a background

of chronic intermittent abdominal and back pain. On presentation he was shocked with distended and ten-

der abdomen and went for an urgent laparotomy. Intraoperatively, he was found to have complete midgut

volvulus around a congenital omental cyst. He underwent clip and drop laparotomy, followed by staged bow-

el resection and ended with 40cms of small bowel. A tube jejunosotmy was performed which was occluded

progressively to achieve bowel dilatation (All the stages of the surgery were documented with photographs).

He had an intensive rehabilitation jointly with gastroenterology and this was followed by serial transverse en-

teroplasty. He recovered well and came off parenteral nutrition achieving eneteral autonomy. He underwent

cholecystectomy due to gall stones. Currently he is doing very well and has maintained he enteral autonomy.

More and more children with short bowel syndrome are surviving now. There is a 50% probability of reaching

enteral autonomy with 40cm of an intestinal remnant and 10% with shorter 10cm of small bowel. The best

results are seen in neonates as it is observed that bowel growth tends to correlate with their overall growth

and development. In our case the boy was four year old when he lost the bowel and still managed to achieve

enteral autonomy which is rare.

Vikrant K et al., Adv Surg Res 2019, Volume 3

Vikrant K is paediatric surgeon with training in adult general surgery. He has over 20 international publications. He has special inter-

est in Paediatric GI surgery. Currently he is working in the NHS to further his experience.

BIOGRAPHY