Duodenal atresia and stenosis: long-term follow-up over 30 years

Escobar, Mauricio A.; Ladd, Alan P.; Grosfeld, Jay L.; West, Karen W.; Rescorla, Frederick J.; Scherer, L.R.; Engum, Scott A.; Rouse, Thomas M.; Billmire, Deborah F.

doi:10.1016/j.jpedsurg.2004.02.025

Cited by 244 publications

(224 citation statements)

References 19 publications

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“…Previously reported case series of duodenal atresia have focused on operative complications and associated mortality. 1,12,13 None of the reports have discussed delayed diagnosis as a contributor to increased morbidity or mortality. One of eight (12.5%) infants with delayed diagnosis in our report died as a result of the metabolic and pulmonary disturbances related to the proximal bowel obstruction.…”

Section: Congenital Duodenal Obstruction H Kilbride Et Almentioning

confidence: 99%

Congenital duodenal obstruction: timing of diagnosis during the newborn period

2009

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Objective: To determine age at diagnosis for congenital duodenal obstruction in the neonatal period and the relationship to clinical outcomes.Study Design: A children's hospital database reflecting a 7 ½-year period was reviewed to identify infants with the diagnosis of duodenal obstruction in the neonatal period. Infants were grouped according to time of diagnosis: antepartum, postpartum in-hospital or after hospital discharge. Clinical descriptors and outcome variables were assessed between infants in these three groups.Result: In total, 27/51 (53%) infants were diagnosed antenatally. Infants with prenatal diagnosis were less mature, more likely to have Down syndrome or other birth defects and the pregnancy was more likely to be complicated by polyhydramnios. Of the 24 infants diagnosed postnatally, 8 (33%) were diagnosed after hospital discharge. These infants tended to be breast fed and discharged before 48 h of age. They had greater weight loss and more metabolic disturbances at readmission for surgery. One infant in the late diagnosis group died.Conclusion: Infants with congenital duodenal obstruction, particularly if breast fed, may not present with classical findings of upper gastrointestinal obstruction in the first days of life. Careful in-hospital evaluation of infants with persistent regurgitation, even low volume, is recommended to avoid missing this diagnosis.

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Section: Congenital Duodenal Obstruction H Kilbride Et Almentioning

confidence: 99%

Congenital duodenal obstruction: timing of diagnosis during the newborn period

2009

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“…7 The presence of these congenital anomalies may help in the early suspicion or diagnosis of congenital duodenal stenosis. In this study we encountered associated congenital anomalies in seven cases (36.8%) one of them had down syndrome.…”

Section: Discussionmentioning

confidence: 99%

Incomplete duodenal obstruction: a rare and late presentation

Eltayeb

Ibrahim

2015

Int Surg J

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“…Duodenal atrezinin en çok Down sendromu olmak üzere, VACTREL (vertebral, anorektal, kardiyak, trakeoözofageal, renal ve ekstremite anomalileri) sendromuyla da birlikteliği tanımlanmıştır (2,7). Hastamızın sendromik görünümü yoktu ve eşlik edebilecek anomaliler açısından yapılan abdominal ultrasonografisi de normaldi.…”

Section: Olguunclassified

“…Duodenal atrezi ve stenoz sık görülen konjenital intestinal obstrüksiyon nedenlerindendir (2). Embriyolojik dönemde ön barsağın kusurlu gelişimi sonucunda oluşan duodenal weblere sıklıkla duodenumun ikinci kısmında rastlanır.…”

Section: Introductionunclassified