Alimentary tract duplications in newborns and children: Diagnostic aspects and the role of laparoscopic treatment

Mayer, Jan; Bettolli, Marcos

doi:10.3748/wjg.v20.i39.14263

Cited by 70 publications

(75 citation statements)

References 62 publications

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“…Neonates present with emesis and poor weight gain secondary to inadequate feeding. 5,6 Gastrointestinal bleeding also can also occur due to ulceration. 5,6 Treatment for gastric duplication anomalies is resection, which can be achieved by enucleation or by a limited gastric resection, and laparoscopic resection is ideal for smaller lesions.…”

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confidence: 99%

“…5,6 They are associated with other anomalies including spinal and gastrointestinal tract abnormalities. 5,7 Whereas esophageal duplication cysts are a rare cause of obstruction, they are the second most common gastrointestinal duplication anomaly, accounting for 15%-20% of all duplications. 6 Esophageal duplication cysts are twice as common in males.…”

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confidence: 99%

“…The treatment is complete excision, and as these cysts may communicate with the vertebrae, an MRI should be done prior to surgical resection of the cyst and repair of an esophageal defect, to delineate the spinal cord so as to prevent potential cord injury. 5,6 Gastric duplication anomalies are usually cystic and do not communicate with the gastric lumen. 5,6 The rarer form of tubular duplication often communicates with the gastric lumen.…”

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confidence: 99%

“…5,6 Gastric duplication anomalies are usually cystic and do not communicate with the gastric lumen. 5,6 The rarer form of tubular duplication often communicates with the gastric lumen. Both cystic and tubular duplications are seen on the greater curvature of the stomach.…”

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confidence: 99%

“…5,6 Treatment for gastric duplication anomalies is resection, which can be achieved by enucleation or by a limited gastric resection, and laparoscopic resection is ideal for smaller lesions. 5,6 Duodenal duplication anomalies occur in the second or third part of the duodenum. They do not communicate with the gastrointestinal tract.…”

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Managing neonatal bowel obstruction: clinical perspectives

Desoky¹,

Kylat²,

Udayasankar³

et al. 2018

RRN

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Neonatal intestinal obstruction is a common surgical emergency and occurs in approximately 1 in 2,000 live births. The causes of obstruction are diverse with varied embryological origins, and some underlying etiologies are not yet well described. Some findings of neonatal bowel obstruction can be detected prenatally on ultrasound imaging. The obstruction is classified as "high" when the level of obstruction is proximal to the ileum, and "low" when the level of obstruction is at the ileum or colon. Early diagnosis of the type of intestinal obstruction and localization of the obstructive bowel segment guides timely and appropriate management of the underlying pathologic entity. Neonatal bowel obstructions are ideally managed at specialized centers with a large volume of neonatal surgery and dedicated pediatric surgical and anesthesia expertise. Although surgical intervention is necessary in most cases, initial management strategies often target underlying metabolic, cardiac, or respiratory abnormalities. Imaging plays a key role in early and accurate diagnosis of the abnormalities. When bowel obstruction is suspected clinically, initial imaging workup usually involves abdominal radiography, which may direct further evaluation with fluoroscopic examination such as upper gastrointestinal (UGI) contrast study or contrast enema. This article provides a comprehensive review of clinical and radiological features of common and less common causes of intestinal obstruction in the neonatal age group, including esophageal atresia, enteric duplication cysts, gastric volvulus, congenital microgastria, hypertrophic pyloric stenosis, duodenal atresia, intestinal malrotation, intussusception, intestinal atresia, meconium ileus, functional immaturity of the colon, Hirschsprung disease, and anorectal malformation. The embryology, epidemiology, clinical presentation, and brief medical and surgical management of each is described.

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

mentioning

confidence: 99%

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Managing neonatal bowel obstruction: clinical perspectives

Desoky¹,

Kylat²,

Udayasankar³

et al. 2018

RRN

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Ultrasound evaluation of the stomach and pylorus in the neonate and baby

Piotto

Gent

2023

Sonography

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Advances in ultrasound technology and development of higher frequency transducers have enabled ultrasound to have a greater role in the evaluation of stomach pathology in children.1 Since Teele and Smith first described the use of ultrasound in the diagnosis of hypertrophic pyloric stenosis (HPS) in five infants in 1977, ultrasound has been the examination of choice for diagnosis of HPS and in most institutions has completely replaced fluoroscopy for this purpose.2 The obvious advantage of using ultrasound is the avoidance of ionising radiation. Another advantage of ultrasound is its ability to provide valuable information about the stomach wall and surrounding structures. It is important to recognise the many sonographic appearances of the normal stomach so that they are not interpreted as some sort of pathology. The principal aim of this article is to describe the normal and pathologic appearances of the neonatal stomach and potential interpretation pitfalls. Sonographic technique as performed in our institution is also briefly described.

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