Early Diagnosis of Duodenal Atresia and Possible Sonographic Pitfalls

Zimmer, Etan Z.; Bronshtein, Moshe

doi:10.1002/(sici)1097-0223(199606)16:6<564::aid-pd903>3.0.co;2-u

Cited by 32 publications

(7 citation statements)

References 5 publications

(7 reference statements)

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“…This study found a similar PPV for both duodenal and jejunoileal obstructions for all cases suspected in the second and third trimesters within the cohort (90.4% and 88.2% respectively). This was not previously reported as PPV is typically thought to be much higher in duodenal obstructions due to the highly suggestive ultrasound sign of the double bubble 27,28 . However, it is known that the contraction of the stomach can create a false‐positive finding of a double bubble, mimicking a duodenal obstruction in healthy fetuses 29 .…”

Section: Discussionmentioning

confidence: 85%

Congenital small bowel obstruction: Prenatal detection and outcome

Heinrich,

Pijpers,

Linskens

et al. 2023

Prenatal Diagnosis

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ObjectiveTo evaluate and compare the outcome of fetuses and neonates with congenital small bowel obstructions (SBO), evaluate the screening performance of prenatal ultrasound for SBO and identify possible risk factors for adverse outcomes.MethodsAll cases referred to the Amsterdam University Medical Centers between 2007 and 2021 for a prenatal suspected SBO, supplemented by cases of postnatal diagnosis of SBO, were included. The primary outcome was survival after 24 weeks of gestation until the first year of life.Results147 cases of SBO were included with a survival rate of 86.2% (119/138) after 24 weeks of gestation until the first year of age. Additional structural or chromosomal anomalies were found to have an increased risk of adverse outcomes. Intrauterine fetal demise occurred in 10/147 (6.8%) cases and 9/147 (6.1%) cases died during postnatal follow‐up. The overall positive predictive value of all prenatally diagnosed cases was 91.5%. Surgical correction was performed in 123/128 (96.0%) of the live‐born cases.ConclusionsCongenital SBO has an overall favorable prognosis, but the outcome is negatively impacted by the possible presence of additional structural or chromosomal anomalies. Fetal monitoring in the early third trimester should be considered, since all cases of Intrauterine fetal demise occurred between 30 and 35 weeks of gestation.

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Section: Discussionmentioning

confidence: 85%

Congenital small bowel obstruction: Prenatal detection and outcome

Heinrich,

Pijpers,

Linskens

et al. 2023

Prenatal Diagnosis

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“…The double bubble sign of proximal duodenal obstruction can be detected from the second trimester onward. 5,6 There is a high prevalence of associated structural anomalies (50%) and trisomy 21 (30%). 7 The differential diagnosis includes other extrinsic or intrinsic causes for duodenal obstruction, for example, annular pancreas, intestinal malrotation with the Ladd bands, gastrointestinal duplication cysts, duodenal web, preduodenal portal vein, and choledochal cyst.…”

Section: Discussionmentioning

confidence: 99%

“…The double bubble sign of proximal duodenal obstruction can be detected from the second trimester onward 5,6 . There is a high prevalence of associated structural anomalies (50%) and trisomy 21 (30%) 7 .…”

Section: Discussionmentioning

confidence: 99%

A unique sonographic presentation of prenatal volvulus associated with malrotation

Green

Chen

Mishael

et al. 2021

Clinical Case Reports

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“…The amniotic fluid-filled “double bubble” may represent an intrinsic or extrinsic obstruction [3]. To confirm duodenal obstruction is important to visualize the dilated duodenum for several minutes as it is possible that intestinal peristalsis in a fetus may show transient dilatation suggesting duodenal obstruction [4]. It is also important to demonstrate the continuity between the gastric and duodenal bubbles to exclude other causes.…”

Section: Introductionmentioning

confidence: 99%

Duodenal Atresia: Open versus MIS Repair—Analysis of Our Experience over the Last 12 Years

Chiarenza

Bucci

Conighi

et al. 2017

BioMed Research International

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Objective. Duodenal atresia (DA) routinely has been corrected by laparotomy and duodenoduodenostomy with excellent long-term results. We revisited the patients with DA treated in the last 12 years (2004–2016) comparing the open and the minimally invasive surgical (MIS) approach. Methods. We divided our cohort of patients into two groups. Group 1 included 10 patients with CDO (2004–09) treated with open procedure: 5, DA; 3, duodenal web; 2, extrinsic obstruction. Three presented with Down's syndrome while 3 presented with concomitant malformations. Group 2 included 8 patients (2009–16): 1, web; 5, DA; 2, extrinsic obstruction. Seven were treated by MIS; 1 was treated by Endoscopy. Three presented with Down's syndrome; 3 presented with concomitant malformations. Results. Average operating time was 120 minutes in Group 1 and 190 minutes in Group 2. In MIS Group the visualization was excellent. We recorded no intraoperative complications, conversions, or anastomotic leakage. Feedings started on 3–7 postoperative days. Follow-up showed no evidence of stricture or obstruction. In Group 1 feedings started within 10–22 days and we have 1 postoperative obstruction. Conclusions. Laparoscopic repair of DA is one of the most challenging procedures among pediatric laparoscopic procedures. These patients had a shorter length of hospitalization and more rapid advancement to full feeding compared to patients undergoing the open approach. Laparoscopic repair of DA could be the preferred technique, safe, and efficacious, in the hands of experienced surgeons.

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Early Diagnosis of Duodenal Atresia and Possible Sonographic Pitfalls

Cited by 32 publications

References 5 publications

Congenital small bowel obstruction: Prenatal detection and outcome

Congenital small bowel obstruction: Prenatal detection and outcome

A unique sonographic presentation of prenatal volvulus associated with malrotation

Duodenal Atresia: Open versus MIS Repair—Analysis of Our Experience over the Last 12 Years

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