Duodenal atresia surgery: Difference between revisions
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**Diamond-shaped anastomosis is constructed between the [[Anatomical terms of location|proximal]] [[Anatomical terms of location|transverse]] to the [[Anatomical terms of location|distal]] [[longitudinal]] [[anastomosis]] | **Diamond-shaped anastomosis is constructed between the [[Anatomical terms of location|proximal]] [[Anatomical terms of location|transverse]] to the [[Anatomical terms of location|distal]] [[longitudinal]] [[anastomosis]] | ||
*Duodenojejunostomy | *Duodenojejunostomy | ||
The post surgical complications of duodenal atresia are as follows:<ref name="pmid2273425">{{cite journal| author=Spigland N, Yazbeck S| title=Complications associated with surgical treatment of congenital intrinsic duodenal obstruction. | journal=J Pediatr Surg | year= 1990 | volume= 25 | issue= 11 | pages= 1127-30 | pmid=2273425 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2273425 }} </ref><ref name="pmid3357136">{{cite journal| author=Kokkonen ML, Kalima T, Jääskeläinen J, Louhimo I| title=Duodenal atresia: late follow-up. | journal=J Pediatr Surg | year= 1988 | volume= 23 | issue= 3 | pages= 216-20 | pmid=3357136 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3357136 }} </ref> | |||
*Post surgical complications include: | |||
**Adhesions | |||
**Duodenal dysmotility | |||
**Megaduodenum with blind loop syndrome | |||
**Duodenogastric reflux and gastritis | |||
**Peptic ulcer disease | |||
**Gastroesophageal reflux | |||
**Cholelithiasis | |||
**Cholecystitis | |||
==Contraindications== | ==Contraindications== | ||
Revision as of 16:37, 2 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
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Overview
Surgery is the mainstay of treatment for duodenal atresia. A nasogastric or orogastric tube should be inserted to decompress the abdomen. A laparotomy or laparoscopy can be performed to correct duodenal atresia. Surgical procedures include duodenoduodenostomy, and duodenojejunostomy.
Indications
Surgery is the first-line treatment option for patients with duodenal atresia. [1]
- Ultrasound shows duodenal obstruction
- Abdominal x-ray shows air fluid levels
Surgery
Surgery is the mainstay of treatment for duodenal atresia.[1][2]
- Laparotomy or laparoscopy can be performed.
- A nasogastric or orogastric tube should be inserted to decompress the abdomen.
Surgical procedures include:
- Side-to-side duodenoduodenostomy
- Bypass procedure
- Diamond-shaped anastomosis is constructed between the proximal transverse to the distal longitudinal anastomosis
- End-to-side duodenoduodenostomy
- Bypass procedure
- Diamond-shaped anastomosis is constructed between the proximal transverse to the distal longitudinal anastomosis
- Duodenojejunostomy
The post surgical complications of duodenal atresia are as follows:[3][4]
- Post surgical complications include:
- Adhesions
- Duodenal dysmotility
- Megaduodenum with blind loop syndrome
- Duodenogastric reflux and gastritis
- Peptic ulcer disease
- Gastroesophageal reflux
- Cholelithiasis
- Cholecystitis
Contraindications
There are no contraindications to surgical repair of duodenal atresia.
References
- ↑ 1.0 1.1 Freeman, SB; Torfs, CP; Romitti, PA; Royle, MH; Druschel, C; Hobbs, CA; Sherman, SL (2009). "Congenital gastrointestinal defects in Down syndrome: a report from the Atlanta and National Down Syndrome Projects". Clinical Genetics. 75 (2): 180–184. doi:10.1111/j.1399-0004.2008.01110.x. ISSN 0009-9163.
- ↑ Kay, Saundra; Yoder, Suzanne; Rothenberg, Steve (2009). "Laparoscopic duodenoduodenostomy in the neonate". Journal of Pediatric Surgery. 44 (5): 906–908. doi:10.1016/j.jpedsurg.2009.01.025. ISSN 0022-3468.
- ↑ Spigland N, Yazbeck S (1990). "Complications associated with surgical treatment of congenital intrinsic duodenal obstruction". J Pediatr Surg. 25 (11): 1127–30. PMID 2273425.
- ↑ Kokkonen ML, Kalima T, Jääskeläinen J, Louhimo I (1988). "Duodenal atresia: late follow-up". J Pediatr Surg. 23 (3): 216–20. PMID 3357136.