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
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 9,000
- 试验地点
- 1
- 主要终点
- Reproducibility of ultrasound in the diagnosis of the abnormal position of the mesenteric vessels
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Reproducibility of ultrasound in the diagnosis of the abnormal position of the mesenteric vessels
时间窗: 1 day (Pre and post natal ultrasound)
Feasibility study to prove the reproducibility of ultrasound in diagnosis of anormal mesenteric vessels position.
Antenatal screening of intestinal malrotation
时间窗: 1 day (Pre and post natal ultrasound)
Antenatal screening of intestinal malrotation with higher risk of volvulus.
Future of the children with an ante natal diagnosis of intestinal malrotation
时间窗: 1 year after birth
Future of the children with an ante natal diagnosis of intestinal malrotation
次要结局
- Produce ante and postnatal strategy facing a situation of mesenteric vessels malposition.(1 day (after delivery))