Duodenal atresia surgery: Difference between revisions
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==Overview== | ==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. | [[Surgery]] is the mainstay of treatment for duodenal atresia. A [[Nasogastric intubation|nasogastric]] or orogastric tube should be inserted to [[Decompression|decompress]] the [[abdomen]]. A [[laparotomy]] or [[Laparoscopic surgery|laparoscopy]] can be performed to correct duodenal atresia. [[Surgical]] procedures include duodenoduodenostomy, and duodenojejunostomy. | ||
==Indications== | ==Indications== | ||
Surgery is the first-line treatment option for patients with duodenal atresia. <ref name="FreemanTorfs2009">{{cite journal|last1=Freeman|first1=SB|last2=Torfs|first2=CP|last3=Romitti|first3=PA|last4=Royle|first4=MH|last5=Druschel|first5=C|last6=Hobbs|first6=CA|last7=Sherman|first7=SL|title=Congenital gastrointestinal defects in Down syndrome: a report from the Atlanta and National Down Syndrome Projects|journal=Clinical Genetics|volume=75|issue=2|year=2009|pages=180–184|issn=00099163|doi=10.1111/j.1399-0004.2008.01110.x}}</ref> | [[Surgery]] is the first-line treatment option for patients with duodenal atresia. <ref name="FreemanTorfs2009">{{cite journal|last1=Freeman|first1=SB|last2=Torfs|first2=CP|last3=Romitti|first3=PA|last4=Royle|first4=MH|last5=Druschel|first5=C|last6=Hobbs|first6=CA|last7=Sherman|first7=SL|title=Congenital gastrointestinal defects in Down syndrome: a report from the Atlanta and National Down Syndrome Projects|journal=Clinical Genetics|volume=75|issue=2|year=2009|pages=180–184|issn=00099163|doi=10.1111/j.1399-0004.2008.01110.x}}</ref> | ||
*Ultrasound shows duodenal obstruction | *[[Ultrasound]] shows duodenal obstruction | ||
*Abdominal x-ray shows air fluid levels | *[[Abdomen|Abdominal]] [[X-rays|x-ray]] shows air fluid levels | ||
==Surgery== | ==Surgery== | ||
Surgery is the mainstay of treatment for duodenal atresia.<ref name="FreemanTorfs2009">{{cite journal|last1=Freeman|first1=SB|last2=Torfs|first2=CP|last3=Romitti|first3=PA|last4=Royle|first4=MH|last5=Druschel|first5=C|last6=Hobbs|first6=CA|last7=Sherman|first7=SL|title=Congenital gastrointestinal defects in Down syndrome: a report from the Atlanta and National Down Syndrome Projects|journal=Clinical Genetics|volume=75|issue=2|year=2009|pages=180–184|issn=00099163|doi=10.1111/j.1399-0004.2008.01110.x}}</ref><ref name="KayYoder2009">{{cite journal|last1=Kay|first1=Saundra|last2=Yoder|first2=Suzanne|last3=Rothenberg|first3=Steve|title=Laparoscopic duodenoduodenostomy in the neonate|journal=Journal of Pediatric Surgery|volume=44|issue=5|year=2009|pages=906–908|issn=00223468|doi=10.1016/j.jpedsurg.2009.01.025}}</ref> | [[Surgery]] is the mainstay of treatment for duodenal atresia.<ref name="FreemanTorfs2009">{{cite journal|last1=Freeman|first1=SB|last2=Torfs|first2=CP|last3=Romitti|first3=PA|last4=Royle|first4=MH|last5=Druschel|first5=C|last6=Hobbs|first6=CA|last7=Sherman|first7=SL|title=Congenital gastrointestinal defects in Down syndrome: a report from the Atlanta and National Down Syndrome Projects|journal=Clinical Genetics|volume=75|issue=2|year=2009|pages=180–184|issn=00099163|doi=10.1111/j.1399-0004.2008.01110.x}}</ref><ref name="KayYoder2009">{{cite journal|last1=Kay|first1=Saundra|last2=Yoder|first2=Suzanne|last3=Rothenberg|first3=Steve|title=Laparoscopic duodenoduodenostomy in the neonate|journal=Journal of Pediatric Surgery|volume=44|issue=5|year=2009|pages=906–908|issn=00223468|doi=10.1016/j.jpedsurg.2009.01.025}}</ref> | ||
*Laparotomy or laparoscopy can be performed. | *[[Laparotomy]] or [[Laparoscopic surgery|laparoscopy]] can be performed. | ||
*A nasogastric or orogastric tube should be inserted to decompress the abdomen. | *A [[Nasogastric tube|nasogastric]] or orogastric tube should be inserted to decompress the [[abdomen]]. | ||
Surgical procedures include: | [[Surgery|Surgical]] procedures include: | ||
*Side-to-side duodenoduodenostomy | *Side-to-side duodenoduodenostomy | ||
**Bypass procedure | **Bypass procedure | ||
**Diamond-shaped anastomosis is constructed between the proximal transverse to the 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]] | ||
*End-to-side duodenoduodenostomy | *End-to-side duodenoduodenostomy | ||
**Bypass procedure | **Bypass procedure | ||
**Diamond-shaped anastomosis is constructed between the proximal transverse to the 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 | ||
Revision as of 23:47, 1 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
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.