Duodenal atresia in children: history, history of the procedure, relevant anatomy (2023)

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What is the procedure for duodenal atresia? ›

Duodenal atresia is treated with a surgery called a duodenoduodenostomy. This is done by connecting the portions of the duodenum before and after the obstruction, effectively bypassing the obstruction. Some types of duodenal blockages may need to be removed surgically.

What is duodenal atresia in medical terminology? ›

Duodenal atresia is a condition in which the first part of the small bowel (the duodenum) has not developed properly. It is not open and cannot allow the passage of stomach contents.

What are the symptoms of duodenal atresia in child? ›

A baby born with duodenal atresia may have a stomach area that appears to be normal, or they may have symptoms such as: Stomach area swelling. Early vomiting that is often green. Continued vomiting even when the infant has not been fed.

What are the complications of duodenal atresia surgery? ›

Late complications include blind-loop syndrome, megaduodenum with altered duodenal motility, gastritis with duodenal-gastric reflux, peptic ulcer, esophagitis and gastroesophageal reflux, pancreatitis, and cholecystitis.

What is the treatment for duodenal obstruction? ›

The definitive treatment for duodenum obstruction is a surgical procedure called duodenoduodenostomy. It is performed under general anaesthesia and requires either a long incision in the abdomen or small cuts (laparoscopic method) to access the duodenum.

What is the prevention of duodenal atresia? ›

Effective measures for the secondary prevention of duodenal atresia include prenatal ultrasound, postnatal abdominal x-ray and ultrasound, and surgical repair.

What is the physical examination of duodenal atresia? ›

An abdominal x-ray may be helpful in the diagnosis of duodenal atresia. Findings on the abdominal x-ray diagnostic of duodenal atresia include double bubble sign which is indicative of gas present in the stomach and absent in the distal small intestine.

What conditions are associated with duodenal atresia? ›

Duodenal atresia is associated with Trisomy 21, also known as Down syndrome, as well as other intestinal atresias. Most cases of duodenal atresia are diagnosed during pregnancy using an ultrasound.

What are the features of duodenal atresia? ›

Duodenal atresia is typically characterized by the onset of vomiting within hours of birth. Whereas the vomitus is most often bilious, it may be nonbilious because 15% of defects occur proximal to the ampulla of Vater.

What is duodenal atresia summary? ›

Duodenal atresia is a congenital intestinal obstruction that can cause bilious or non bilious vomiting within the first 24 to 38 hours of neonatal life, typically following the first oral feeding. It is associated with in-utero polyhydramnios and is one of the most common causes of fetal bowel obstruction.

What causes duodenal ulcers in kids? ›

Bacteria called Helicobacter pylori (or H. pylori) cause most peptic ulcers. Using common nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, also can cause a peptic ulcer. The ulcers form when the bacteria or the medicine weakens the mucus that coats the stomach and duodenum.

What are the symptoms of duodenal perforation? ›

The classic triad for PPU is the sudden onset of abdominal pain, abdominal rigidity, and tachycardia. Physicians should be aware that a normal upright chest X-ray does not rule out duodenal perforation. Early diagnosis, quick resuscitation, and urgent surgical intervention are crucial to improving outcomes.

What is the most common complication of duodenal ulcer? ›

Internal bleeding

Internal bleeding's the most common complication of stomach ulcers. It can occur when an ulcer develops at the site of a blood vessel.

What is a common symptom or complication of duodenal ulcer? ›

The most common ulcer symptom is a dull or burning pain in your belly between your breastbone and your belly button (navel). This pain often occurs around meal times and may wake you up at night. It can last from a few minutes to a few hours.

Which of the following is the most common complication of duodenal and gastric ulcer? ›

Internal bleeding is the most common complication of stomach ulcers.

What are common problems with the duodenum? ›

Diseases of the Stomach & Duodenum
  • Gastritis. Gastritis is when the stomach lining becomes inflamed or swollen. ...
  • Gastroenteritis. Gastroenteritis is an inflammation of both the stomach and small bowel. ...
  • Gastroparesis. ...
  • Non-Ulcer Dyspepsia. ...
  • Peptic Ulcers. ...
  • Stomach (Gastric) Cancer.

What is the most common cause of duodenal obstruction? ›

Congenital duodenal obstruction can present due to an intrinsic or extrinsic gastrointestinal lesion. The most common cause of duodenal obstruction is atresia. This intrinsic lesion is most commonly believed to be caused by a failure of recanalization of the fetal duodenum, resulting in complete obstruction.

What are nursing interventions to treat small bowel obstruction? ›

Treatment includes intravenous (in the vein) fluids, bowel rest with nothing to eat (NPO), and, sometimes, bowel decompression through a nasogastric tube (a tube that is inserted into the nose and goes directly to the stomach). Anti-emetics: Medications may be required to relieve nausea and vomiting.

Can atresia be treated with surgery? ›

Surgery is an option, and in certain situations necessary, for treatment of atresia in these situations: to create an ear canal allowing for hearing restoration. replacement or alteration of one, two, or all three of the middle ear bones if inadequately formed for sound conduction.

What is the differential diagnosis for duodenal atresia? ›

Ruptured abdominal aortic aneurysm and midgut volvulus are considered in the differential diagnosis of duodenal atresia and duodenal stenosis.

What is the success rate of duodenal atresia surgery? ›

The survival rate of patients who undergo surgical treatment for duodenal atresia and stenosis has remarkably improved from 45% to 96% over the last 50 years due to improvements in diagnosis, neonatal intensive care, and surgical management [1].

What is Ladd's procedure? ›

The Ladd's procedure is the standard corrective measure for intestinal malrotation in children and consists of division of peritoneal bands (Ladd's bands) traversing the posterior abdomen, reduction of volvulus, appendectomy, and functional postioning of the intestine with or without fixation.

How long does a duodenal switch surgery last? ›

The Duodenal Switch is an inpatient surgical procedure takes approximately 2 to 3 hours to complete. It begins with a Gastric Sleeve procedure in order to remove a large portion of the stomach. The stomach is divided vertically with the portion intact, shaped like a banana.


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