What is the recommended management for a child with symptoms of malrotation?

The management of a child with symptoms of malrotation involves immediate intervention because malrotation can lead to life-threatening complications such as volvulus, where the intestine twists and compromises its blood supply. When a child presents with signs and symptoms of malrotation, placement of a nasogastric (NG) tube is critical as it helps decompress the stomach and provide symptomatic relief by removing gastric contents.

However, the definitive treatment for malrotation is surgical intervention. Surgery is necessary to correct the abnormal positioning of the intestines, prevent complications, and address any ischemic bowel that may have occurred due to a volvulus. This combination of NG tube placement for immediate symptom relief and surgical intervention for correction makes it crucial in the management strategy for malrotation. Prompt surgical referral and intervention can significantly improve outcomes and prevent serious complications in affected children.