Management of alimentary tract duplication in children

Abstract

Duplication of the alimentary tract is rare but potentially dangerous. Five of 72 children with alimentary tract duplication treated between 1973 and 1992 died from postoperative complications; a further ten required more than one operation. Ileal duplications were the commonest, occurring in 16 patients (22 per cent). Thoracoabdominal duplications were the most complicated and responsible for much of the overall morbidity and mortality. Surgical complications were related to the size and location of the duplication, communication with the gastrointestinal tract or vertebral canal, presence of heterotopic gastric mucosa and involvement of mesenteric vessels. Complete excision of the duplication should be possible in most cases.

Hasi cysták és cystosus képletek differenciáldiagnózisa gyermekkorban

“…Legnehezebb a petefészekcys-ta és a bélduplikatúra elkülönítése [4]. Gastrointestinalis kettőzetek leggyakrabban a vékonybelet érintik, azon belül is az ileumot, míg a gyomor és a vastagbél dupliká-ciója ritka [5,6] …”

“…A gastrointestinalis duplikációk előfordulása ritka, leggyakrabban érintett bélszakasz az ileum [5]. A bél-duplikatúra lehet cysticus, elsősorban a vékonybélben, tubularis (döntően vastagbélben) vagy ritkán kevert tí-pusú.…”

“…Egyes szerzők előrehaladott ischaemiás káro-sodás esetén sem ajánlják a petefészek eltávolítását, mert a makroszkóposan látható érintettség nem minden esetben korrelál az ischaemia fokával [12]. Gyakorlatunkban csak az egyértelmű irreverzíbilis ischaemiás károsodás jeleit mutató petefészket távolítjuk el az esetleges szö-vődmények (tályogképződés, diffúz peritonitis) megelő-zése érdekében.A gastrointestinalis duplikációk előfordulása ritka, leggyakrabban érintett bélszakasz az ileum [5]. A bél-duplikatúra lehet cysticus, elsősorban a vékonybélben, tubularis (döntően vastagbélben) vagy ritkán kevert tí-pusú.…”

Cystic Enteric Duplication: Prenatally and Postnatally Diagnostic Group

“…진단은 US, CT, 또는 자기공명영상촬영(MRI)이 사용되 며 [21], US가 장중복증을 진단하는 데 가장 일반적으로 사용 된다 [22]. US에서 장중복증을 진단하기 어려운 경우 추가적 으로 CT 또는 MRI를 통해 장중복증의 위치, 특성 그리고 인 접한 구조물과의 관계를 확인할 수 있다 [21].…”

Ileocecal duplication cysts: Is the loss of the valve always necessary?

“…Enteric duplications are rare congenital diseases, accounting for 1 case per 18000 live births [1] and arising at any level of the gastrointestinal tract, but most commonly at the small intestine [2]. It is now widely accepted that these lesions must be removed after being diagnosed, because they usually develop serious complications as bowel obstruction secondary to adjacent pressure or mass effect, intussusception, gastrointestinal bleeding or perforation and more rarely volvulus and associated malignancy, especially in adults with lesions of the colon [3].…”