* LADDS Procedure for the first time in Anantapur district

* Only 0.2 to 0.5% of chances of getting the problem in young adults

* Surgery performed successfully by KIMS Saveera doctors

A child with midgut malrotation was suffering severely from recurrent abdominal pain and got a timely surgery by doctors at KIMS Saveera hospitals. Consultant Surgical gastroenterologist Dr. N. Mohammed Shahid explained the details of the case.

“The 11-year-old child had a history of recurrent episodes of pain abdomen and intermittent vomiting since 5 years. Symptoms were aggravated for the past two 2 months. He consulted different hospitals, but there was no relief of symptoms. Finally patient came to KIMS Saveera Hospital Anantapur. Dr. N Mohammed Shahid evaluated the patient in depth. On through clinical and radiological evaluation with CT abdomen, the patient was found to have Mid-gut malrotation. Then, explained the situation to the patient, and the options of management too. He underwent the LADDS Procedure for midgut Malrotation successfully. This is the first time in Anantapur district to do this procedure. The perioperative period was uneventful. The patient had shown significant improvement in his pre-operative complaints and was able to walk and eat by himself on 1st post-op day. He was discharged on the 3rd postoperative day without any complications.

Midgut malrotation is a defect in the normal embryonic rotation of the gut. It causes intestinal obstruction that presents acutely or with chronic intermittent gastrointestinal symptoms. It must be promptly diagnosed and treated to avoid the severe consequences of small bowel necrosis. The incidence of mid-gut malrotation is estimated to be around 1 in 6000 live births. The most severe presentation of the gastrointestinal rotational anomaly is malrotation with bowel volvulus. Therefore, intestinal malrotation was considered a disease of infancy, presenting within the first year of life. Thirty percent of cases occur in the first month of life, 60% by approximately one year of age, and over 75% percent by the age of five. Adult presentation accounts for only 0.2 to 0.5% of all cases, of which only 15% present with midgut volvulus.

This is the first case of the LADDS procedure in Anantapur district. KIMS Saveera Hospital has all the facilities required for all kinds of open and minimally invasive gastrointestinal surgeries. Our Consultant Surgical Gastroenterologists are well trained in both open and Minimally invasive Gastroenterointestinal surgeries and have sufficient expertise to manage all complicated Gastrointestinal both benign and malignant Gastrointestinal disorders” explained Dr. N. Mohammed Shahid.