Endoscopic Dilation and Partial Resection of a Duodenal Web in an Infant

Beeks, Angela; Gosche, John R.; Giles, Henry; Nowicki, Michaeł

doi:10.1097/mpg.0b013e31818c600f

Cited by 54 publications

(51 citation statements)

References 9 publications

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“…The associated malformations in order of frequency are Down syndrome, annular pancreas, congenital heart disease, malrotation, esophageal atresia, urinary tract malformation, anorectal anomalies, other bowel atresias, vertebral anomalies, and musculoskeletal anomalies. These associated malformations have an impact on the morbidity and mortality of these patients [3,4,7]. …”

Section: Discussionmentioning

confidence: 99%

“…The true incidence of malrotation is not fully known; however, it is reported as approximately 1 in 500 live births [1,2]. The incidence of duodenal web as a cause of intestinal obstruction is reported to be between 1:10,000 to 1:40,000 [3,4]. There is a high incidence (approximately 50%) of associated anomalies in patients with intrinsic duodenal obstruction, but malrotation is reported to occur in only in 19.7% of cases [4].…”

Section: Introductionmentioning

confidence: 99%

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Persistent Nonbilious Vomiting in a Child: Possible Duodenal Webbing

et al. 2017

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An association between malrotation and congenital duodenal webbing is rare. We present our experience with four patients at two centers, and a review of published reports. There are currently 94 reported cases of duodenal pathology associated with malrotation. However, only 15 of the 94 cases (15.9%) include patients with malrotation and a duodenal web. We suggest that nonbilious vomiting in a child must prompt the surgeon to consider duodenal pathology even in the presence of malrotation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Persistent Nonbilious Vomiting in a Child: Possible Duodenal Webbing

et al. 2017

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“…Duodenal webs, a similar condition, are the result of incomplete bowel lumen recanalization occurring between the eighth and tenth weeks of gestation [2]. Less epidemiologic data are available regarding duodenal webs; however, they are thought to be more rare with an estimated incidence somewhere between 1 in 10,000 and 1 in 40,000 [5]. Associations between congenital duodenal obstruction and other congenital anomalies have been well documented.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous duodenal stenosis and duodenal web in a newborn

Erickson

Retrouvey

Rush

et al. 2016

Radiology Case Reports

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Failure of duodenal recanalization results in a spectrum of proximal bowel obstruction from stenosis to atresia. Associations between congenital duodenal obstruction and other congenital anomalies have been well documented although the coincidence of duodenal stenosis and duodenal web is incredibly rare, posing a unique diagnostic challenge. We report a case of a full-term 4-day-old female child presented with forceful, bilious emesis and poor oral intake with decreased frequency of urination, and stooling whose initial abdominal radiograph showed several loops of gas-filled bowel in the distal stomach and proximal duodenum mimicking the classic “double-bubble” sign. An upper gastrointestinal barium contrast study revealed distention of the duodenal bulb with an abrupt narrowing and subsequent dilation at the second portion of the duodenum raising the suggestion of multiple duodenal obstructions. Ladd’s procedure was performed, and the stenotic and webbed segments were bypassed with a Kimura diamond-shaped duodenoduodenostomy.

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“…Recently, an endoscopic, entirely intraluminal approach for resection of duodenal webs has been described [16,17]. The obvious appeal of this technique is the true lack of a visible scar.…”

Section: Discussionmentioning

confidence: 99%