Alimentary tract duplications in children: Report of 16 years′ experience

Zouari, Mohamed; Bouthour, H.; Abdallah, R. Ben; Hlel, Youssef; Malek, Riath Ben; Gharbi, Y.; Kaabar, N.

doi:10.4103/0189-6725.143146

Cited by 17 publications

(8 citation statements)

References 18 publications

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“…Intestinal duplication is divided into the intraintestinal cystic type, extraintestinal cystic type and tubular type, according to the pathological basis. It is cystic or tubular in shape according to sonographic features, with the extraintestinal cystic type occurring in more than 80% of duplication masses [17,18]. Ultrasonography revealed cystic masses at the neck of the intussusception with walls showing an intestinal wall-like structure in all 10 cases in the current study.…”

Section: Discussionmentioning

confidence: 47%

Diagnostic Value of Ultrasound-Guided Water Enema for Secondary Intussusception in Children

Hu¹,

Xia²,

Ma³

et al. 2020

Advanced Ultrasound in Diagnosis and Therapy

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To investigate the diagnostic value of ultrasound-guided water enema for children with secondary intussusception. Methods:We performed a retrospective analysis of the sonographic findings of 52 children with a confirmed diagnosis of SI through colonoscopy or surgical pathology between May 2016 and May 2019 in Shenzhen Children's Hospital. The diagnostic value of ultrasound-guided water enema was evaluated. Results:Of the 52 patients with SI (29 male, 23 female; average age, 50 months [range: 3 months to 12 years]), 16 had intestinal polyps, including 15 cases of juvenile polyps and 1 case of Peutz-Jeghers (P-J) polyps; 14 had Meckel's diverticulum; 11 had lymphoma; 10 had intestinal duplication; and 1 had jejunal schwannoma. All 52 patients were diagnosed with intussusception, of which 41 were confirmed with the presence of pathological lead points (PLPs) before water enema. After enema, PLP was demonstrated in 48 cases. All of the remaining 4 cases without a PLP diagnosis were found to be Meckel's diverticulum.Ultrasonography revealed the specific features in each category. Patients with juvenile polyps showed hypoechoic masses in the intestinal lumen and some honeycomb-like anechoic masses while the single P-J polyp case showed hypoechoic masses with branching echoes in the intestinal lumen. Three of the Meckel's diverticula cases showed irregular hyperechoic masses inside the intussusception, and 7 showed cystic masses inside the intussusception. All 11 lymphomas cases showed extremely hypoechoic masses. All 10 intestinal duplication cases showed cystic masses at the neck or inside the intussusception, with walls exhibiting intestinal wall-like structure. The case of jejunal schwannoma showed irregular hypoechoic masses at the neck of the intussusception. There were no major complications such as intestinal perforation occurred in all the children after the completion of water enema ultrasound examination. Conclusion:Ultrasound-guided water enema helps identify PLPs and improves the diagnosis of primary diseases in children with SI.

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Section: Discussionmentioning

confidence: 47%

Diagnostic Value of Ultrasound-Guided Water Enema for Secondary Intussusception in Children

Hu¹,

Xia²,

Ma³

et al. 2020

Advanced Ultrasound in Diagnosis and Therapy

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“…The symptoms and signs of GD include abdominal pain, vomiting, fever, gastrointestinal bleeding, and an abdominal mass, but there is no specific symptoms. The clinical symptoms and signs of GD depend on the type, size, location, and age of onset ( 20 , 21 ). Vomiting is common in children, while abdominal pain, abdominal distension, weight loss, and other symptoms are common in elderly patients.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Gastric Duplication in Children

Liu

Lan

et al. 2022

Front. Pediatr.

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BackgroundTo investigate the clinical characteristics of gastric duplication (GD) in children.MethodsThe clinical data of 17 children with GD who were treated in our hospital from July 2015 to June 2021 were analyzed retrospectively. There were 8 males and 9 females, aged from 2 months to 11 years. All children underwent laparoscopic GD resections and postoperative pathological diagnosis was GD. In addition, we searched and analyzed the literature on GD in children from 1 January 2011 to 31 December 2021 from the PubMed, EMBASE, and Cochrane Library databases.ResultsGastric duplication was more common in females, with the most common cystic type occurring in the greater curvature of the stomach. Vomiting is the most common clinical manifestation. Ultrasound is an effective method for the early screening of GD. In this study, one patient who had multiple GDs underwent laparoscopic cystectomy and mucosectomy, one patient was converted to open surgery, and all other children underwent laparoscopic cystectomies. The time to oral intake was 2.3 ± 1.0 days (range: 1–4 days), and the postoperative hospital stay was 5.7 ± 1.7 days (range: 2–9 days). All children were followed up for 6–77 months and had an uneventful recovery with the resolution of the preoperative symptoms.ConclusionGastric duplication in children lacks specific clinical manifestations, and the preoperative diagnosis rate is not high, so surgical exploration combined with pathological examination is often needed to make a clear diagnosis. Laparoscopic cystectomy can achieve good therapeutic results.

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“…Clinical presentations of EDs depend on several factors including age, size and location of the duplication, type of mucosal lining, communication with the bowel lumen, and associated anomalies [16 , 17] .…”

Section: Discussionmentioning

confidence: 99%

Alimentary tract duplications in children: Report of 16 years′ experience

Abstract: ATDs are a rare condition in children. Diagnosis relies on histology, and treatment can only be by means of surgery. The outcome after surgery is generally favourable. Diagnosis and precocious surgery of ATDs can warn serious complications.

Cited by 17 publications

References 18 publications

Diagnostic Value of Ultrasound-Guided Water Enema for Secondary Intussusception in Children

Diagnostic Value of Ultrasound-Guided Water Enema for Secondary Intussusception in Children

Clinical Characteristics of Gastric Duplication in Children

Congenital colorectal tubular duplication in an infant: A tale of radiological diagnostic challenges

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