Intended for healthcare professionals

Letters Intestinal malrotation and volvulus

Infants with suspected intestinal malrotation or volvulus are not prioritised for transfer

BMJ 2014; 348 doi: (Published 10 March 2014) Cite this as: BMJ 2014;348:g2020
  1. Syed M Mohinuddin, consultant neonatologist1,
  2. Nandiran Ratnavel, consultant neonatologist1,
  3. Ajay K Sinha, consultant neonatologist and honorary senior lecturer12
  1. 1London Neonatal Transfer Service, Royal London Hospital, Barts Health NHS Trust, London E1 1BB, UK
  2. 2Blizard Institute, Centre for Paediatrics, Barts and the London School of Medicine and Dentistry, London, UK
  1. syed.mohinuddin{at}

Intestinal malrotation and volvulus in infants can be easily missed. The authors highlight the substantial risk of mortality and morbidity and recommend immediate surgical referral.1 In our experience as a regional neonatal transfer service for London, despite recognition of risks in infants with bilious vomiting, they are not prioritised for transfer to surgical centres.

We recently audited 163 term infants with bilious vomiting transferred at ≤7 days of …

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