Imaging features of gastrointestinal tract duplications in infants and children: from oesophagus to rectum

Hur, Jin; Yoon, Choon Sik; Kim, Myung Joon; Kim, Ok-Hwa

doi:10.1007/s00247-007-0476-3

Cited by 75 publications

(52 citation statements)

References 16 publications

(34 reference statements)

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“…Computed tomography (Ct) or magnetic resonance imaging (Mri) are more helpful in determining the exact position of the lesion than in diagnosing the exact nature of it. 9 laparoscopy not only confirms the diagnosis, but also identifies the exact localization. 10 this diagnostic procedure may be extended into a therapeutic one according to the surgeon's experience.…”

Section: Discussionmentioning

confidence: 64%

Role of mini-invasive surgery in the treatment of enteric duplications in paediatric age: a survey of 15 years

et al. 2012

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Background: gastrointestinal tract duplications (Atd) are rare malformations that occur with an incidence of 1 in 4000-5000 live births, with heterogeneous clinical pictures in relation to the different location and size. the purpose of this study was to analyze the role of minimally invasive surgery in the management of Atds, through a critical analysys of 15 years of experience of the department of Paediatric Surgery, university of Bologna. Methods: the medical records of 22 children diagnosed with Atds were retrospectively reviewed (January 1995-August 2010. the study analyses: clinical presentation, preoperative diagnosis, site, anatomic type, treatment, and outcome. Results: Children were 16 males and 6 females, with age ranged from 1 day to 10 years. 20 Atds (91%) were cystic type, while 2 cases (9%) were tubular one. during the first period of our experience, 10 (45.5%) cases were approached with an open surgery. then subsequent 8 (36.4%) cases were treated with a diagnostic laparoscopy. this approach permitted also to perform a minilaparotomy, close to the site of the malformation, with a short length of the scar. in 2 cases (9%), we realized an ileal resection with end-to-end anastomosis with a trans-umbilical video-assisted procedure. in 2 cases (9%), we performed a complete removal of the lesions, after complete ligation of the vascular pedicle through a laparoscopic approach. 10 cases (45.5%) were located in the ileum, 6 cases (27.3%) were esophageal duplication, 3 cases (13.6%) were gastric duplications, 2 cases (9%) were located in the colon-rectum. the postoperative course was uneventful in all the cases. Discussions and conclusions: this study shows how, in the management of intestinal duplications, a mininvasive approach, is increasingly taking the field, along with increasing the "learning curve" with laparoscopy. in experienced hands, the laparoscopic approach allows an accurate definition of the exact site of duplication and a miniinvasive treatment with similar principles of open techniques.

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Section: Discussionmentioning

confidence: 64%

Role of mini-invasive surgery in the treatment of enteric duplications in paediatric age: a survey of 15 years

et al. 2012

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“…Los quistes de duplicación suelen verse bien delimitados, redondos, llenos de líquido y uniloculares con una pared delgada. La nodularidad mural debe hacer sospechar malignidad 16,28,38 . Resonancia magnética.…”

Section: Diagnósticounclassified

“…El componente quístico suele ser hipointenso en T1 e hiperintenso en T2. La presencia de hemorragia puede elevar la señal de la lesión en T1 15,28 . Otros estudios.…”

Section: Diagnósticounclassified

Duplicaciones de las vías digestivas

et al. 2018

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ResumenLas duplicaciones de las vías digestivas son anomalías congénitas infrecuentes, que se pueden localizar en cualquier parte del tubo digestivo, y son más comunes en los hombres. Hasta en un tercio de los pacientes, se acompañan de otras anomalías congénitas. Se han postulado tres teorías para explicar la causa de las duplicaciones: la de la recanalización de la luz intestinal, la del accidente vascular intrauterino y la de la unión o "hermanamiento" incompleta. Se clasifican en duplicaciones quísticas, cuando se comunican con la luz intestinal normal, y en duplicaciones tubulares, cuando no lo hacen; según algunas series, las primeras corresponden de 70 a 75 % de los casos informados y, las segundas, del 25 al 30 %. Poseen tres características esenciales, que son: estar unidas a cualquier segmento del tubo digestivo y con una irrigación sanguínea común; tener una capa muscular, y poseer un revestimiento epitelial que, generalmente, corresponde a la mucosa del mismo trayecto. Los síntomas más comunes son dolor abdominal inespecífico, náuseas, vómitos, hemorragia gastrointestinal, invaginación, obstrucción, ictericia y pancreatitis. El diagnóstico se basa, especialmente, en estudios imagenológi-cos, desde la radiografía simple hasta la resonancia magnética, siendo de gran importancia la ecografía prenatal. El tratamiento quirúrgico es la principal opción terapéutica, en la cual se usa cada vez más la vía laparoscópica. Palabras clave: tracto gastrointestinal; duodeno; intestino delgado; quiste congénito; diagnóstico. AbstractAlimentary tract duplications are rare congenital lesions that can occur anywhere in the gastrointestinal tract. Three hypotheses about their etiology had been proposed, The luminal recanalization theory, the intrauterine vascular accident theory, and the abortive twinning theory. According to some series, three quarters of gastrointestinal duplications are cystic with no communication to the adjacent alimentary tract, while the remaining are tubular and may communicate with the intestinal lumen.

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“…In some cases, they may cause dysphagia. Esophagram shows displacement of esophagus, and MR or CT should be performed in order to characterize these lesions (8,13,14).…”

Section: Fig 5 Diagnostic Imaging Of the Trachoesophageal Fistula (Tmentioning

confidence: 99%

A Pictorial Essay on Radiography of Swallowing and Esophageal Disorders

Ključevšek¹

2015

Pediatr Today

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Numerous abnormalities, both of congenital and acquired causes, can compromise the swallowing process and the ability of the esophagus to transmit the food from the mouth to the stomach in pediatric population. Patients often present a history of aspiration, dysphagia or feeding difficulties. The imaging evaluation typically begins with a fluoroscopic examination of the swallowing process and esophagus (esophagram), using either barium or water soluble contrast medium. This pictorial essay delineates the imaging features of normal anatomy and physiology of the swallowing and the esophagus, as well as the imaging features of common pediatric swallowing dysfunctions and various esophageal abnormalities. It is designed in order to assist radiologists in providing an appropriate diagnosis when confronted with a suspected disease in this anatomic region, and when appropriate, what additional testing to recommend. It is also designed to inform pediatricians about the wealth of diagnostic information that may be collected when performing an esophagram; a relatively simple radiographic examination. Conclusion -Radiographic imaging of swallowing and the esophagus remains the primary imaging modality in patients with a history of aspiration, dysphagia and feeding problems. It offers valuable diagnostic information related to anatomy, morphology and peristalsis.

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Imaging features of gastrointestinal tract duplications in infants and children: from oesophagus to rectum

Cited by 75 publications

References 16 publications

Role of mini-invasive surgery in the treatment of enteric duplications in paediatric age: a survey of 15 years

Role of mini-invasive surgery in the treatment of enteric duplications in paediatric age: a survey of 15 years

Duplicaciones de las vías digestivas

A Pictorial Essay on Radiography of Swallowing and Esophageal Disorders

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