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Table 4 Ongoing gastrointestinal (GI) symptoms among surgical participants 1 year post operation in IMPOWERa

From: IMPOWER: a national patient-generated registry for intestinal malrotation exploring diagnosis, treatment, and surgical outcomes

Characteristic, n(%)

Pediatric registrantsbc

(n = 107)

Adult registrants diagnosed after 20 years of age (n = 45)

GI symptoms reported 1 year following surgical procedure

Yes

67 (62.6)

37 (82.2)

No

38 (35.5)

7 (15.6)

Type of GI symptoms 1 year following surgical procedure

Vomiting

39 (36.4)

11 (24.4)

Difficulty tolerating foods

36 (33.6)

19 (42.2)

Reflux

35 (32.7)

9 (20.0)

Abdominal pain

34 (31.8)

33 (73.3)

Constipation

30 (28.0)

22 (48.9)

Diarrhea

28 (26.2)

16 (35.6)

Excessive spit up (baby)

26 (24.3)

Swollen abdomen

26 (24.3)

13 (28.9)

Failure to thrive

21 (19.6)

5 (11.1)

Other

10 (9.3)

11 (24.4)

Severity of symptoms 1 year following surgical procedure

More severe

7 (6.5)

10 (27.0)

About the same severity

9 (8.4)

9 (24.3)

Less severe

37 (34.6)

17 (46.0)

Generally no symptoms prior to surgical procedure

46 (43.0)

1 (2.7)

Frequency of symptoms 1 year following surgical procedure

More frequent

10 (9.3)

13 (35.1)

About the same frequency

18 (16.8)

8 (21.6)

Less frequent

25 (23.4)

14 (37.8)

Generally no symptoms prior to surgical procedure

47 (43.9)

1 (2.7)

Specialist visits following surgical procedure

Gastroenterologist

74 (69.2)

37 (82.2)

Nutritionist/Dietician

45 (42.1)

16 (35.6)

Physical therapist

29 (27.1)

5 (11.1)

Occupational therapist

27 (25.2)

Speech pathologist

25 (23.4)

Feeding therapist

22 (20.6)

Lactation specialist

17 (15.9)

Allergist

12 (11.2)

2 (4.4)

Other specialist

19 (17.8)

4 (8.9)

Number of gastroenterologists seen following surgical procedure

0 gastroenterologists

33 (30.8)

8 (17.8)

1 gastroenterologist

20 (18.7)

10 (22.2)

2 gastroenterologists

27 (25.2)

8 (17.8)

3 gastroenterologists

9 (8.4)

3 (6.7)

4 or more gastroenterologists

18 (16.8)

16 (35.6)

Nonsurgical methods currently used to manage symptoms

Medications

28 (26.2)

32 (71.1)

Dietary changes

27 (25.2)

31 (68.9)

Alternative medicine

6 (5.6)

10 (22.2)

Physical therapy

3 (2.8)

10 (22.2)

Other nonsurgical methods

12 (11.2)

3 (6.7)

  1. aIntestinal Malrotation Patient Outcomes and WEllness Registry
  2. bPediatric participants under 18 at time of enrollment were registered by parent or caregiver
  3. cExcludes participants deceased at time of registration