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]

https://www.youtube.com/watch?v=xxfAEwmVPbk%7C350}}

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]

Surgery

Surgery is the mainstay of treatment for duodenal atresia.[1][2]

Surgical procedures include:

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. 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.
  2. 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.
  3. Spigland N, Yazbeck S (1990). "Complications associated with surgical treatment of congenital intrinsic duodenal obstruction". J Pediatr Surg. 25 (11): 1127–30. PMID 2273425.
  4. Kokkonen ML, Kalima T, Jääskeläinen J, Louhimo I (1988). "Duodenal atresia: late follow-up". J Pediatr Surg. 23 (3): 216–20. PMID 3357136.

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