Which specialist consultations are beneficial to patients with intestinal malrotation?

Updated: Dec 19, 2018
  • Author: Denis D Bensard, MD, FACS, FAAP; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Consultations with the following specialists may be helpful:

  • Pediatric surgeon: The only definitive treatment for malrotation is surgical in nature

  • Dietary/intravenous nutrition team: In hospitals where available, include a nutritionist in the medical team to monitor total parenteral nutrition to ensure optimal nutrition. Children who undergo extensive small bowel resection require long-term nutritional support and benefit from early consultation with the nutrition team.

  • Pediatric gastroenterologist: Consultation with a gastroenterologist should be considered early in the postoperative course, particularly in those children who have undergone extensive small bowel resection due to the need for long-term parenteral nutrition and the resulting cholestasis in this population.

  • Physical therapist: A physical therapist can help with range of motion exercises and strength conditioning while patients are bedridden. Frequent repositioning also helps prevent decubitus pressure ulcers and head molding in infants.

  • Occupational therapist: Occupational therapists can also assist with splinting of extremities that contain central lines to prevent contractures as well as range of motion exercises.

  • Speech therapist: A speech therapist can help with oral stimulation while patients are not being fed. This stimulation can prevent feeding aversion and poor coordination when oral feeds are restarted.


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