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

  1. Piper HG, Alesbury J, Waterford SD, Zurakowski D, Jaksic T. Intestinal atresia: factors influencing clinical outcomes.J Pediatr Surg. 2008 Jul 43(7): 1244-8.[QxMD Link MEDLINE].

  2. Freeman SB, Torfs CP, Romitti PA, et al. Gastrointestinal congenital defects in Down syndrome: a report from the Atlanta and National Down Syndrome Projects.clin genet. 2009, Feb 75(2): 180-4.[QxMD Link MEDLINE].

  3. Al Salem OH. Congenital duodenal obstruction.Pediatric Surgery Atlas. Cham, Suiza: jerseys; 2020

  4. Piper HG, Alesbury J, Waterford SD, Zurakowski D, Jaksic T. Intestinal atresia: factors influencing clinical outcomes.J Pediatr Surg. 2008 Jul 43(7): 1244-8.[QxMD Link MEDLINE].

  5. Applebaum H, Lee SL, Puapong DP. Duodenal atresia and stenosis - annular pancreas. In: Grosfeld JL, O'Neill JA, Fonkalsrud EW, Coran A, eds.Pediatric Surgery. Filadelfia, Pensilvania: Mosby Elsevier; 2006. 6th ed.: 1260-8.

  6. Kay S, Yoder S, Rothenberg S. Laparoscopic duodenoduodenostomy in the newborn.J Pediatr Surg. 2009 May. 44(5):906-8.[QxMD Link MEDLINE].

  7. Chiarenza SF, Bucci V, Conighi ML, et al. Duodenal atresia: analysis of open repair versus MIS from our experience over the past 12 years.Biomed Res Int. 2017. 2017:4585360.[QxMD Link MEDLINE].

  8. King of Bile duct abnormalities associated with duodenal atresia.child with arch disease. 1973 Dec 48(12): 952-7.[QxMD Link MEDLINE].

  9. Mali V, Wagener S, Sharif K, Millar AJ. Foregut atresia and bile duct abnormalities: rare, rare, or common?Kinderchirurgie Int. 23. September 2007(9):889-95.[QxMD Link MEDLINE].

    (Video) Duodenal Atresia

  10. Waever E, Neilsen OH, Arnbjornsson E, Kullendorff CM. Surgical management of duodenal atresia.Kinderchirurgie Int. 1995. 10:322-4.

  11. Alatas FS, Masumoto K, Esumi G, Nagata K, Taguchi T. Significance of abnormalities in systems proximal and distal to the obstructed site of duodenal atresia.J Pediatr Gastroenterol Nutrition. 2012 Feb 54(2):242-7.[QxMD Link MEDLINE].

  12. Mustafawi AR, Hassan ME. Congenital duodenal obstruction in children: a decade of experience.Eur J Pediatr Surg. 2008 Apr 18 (2): 93-7.[QxMD Link MEDLINE].

  13. Elliott GB, Kliman MR, Elliott KA. Pancreatic ring: sign or cause of duodenal obstruction?.Can J Surg. 1968 Jul 11(3): 357-64.[QxMD Link MEDLINE].

  14. Morris JK, Springett AL, Greenlees R, et al. Trends in congenital anomalies in Europe from 1980 to 2012.plus one. 2018. 13 (4):e0194986.[QxMD Link MEDLINE].[Complete text].

  15. Akinloye OW, Truong W, Giacomantonio M, Mateos D, El-Naggar W. Coexistence of meconium ileus with duodenal atresia and trisomy 21 in a newborn: a case report.J Perinatol. 34. 2014 Nov (11): 875-6.[QxMD Link MEDLINE].

  16. A. Kucinska-Chahwan, A. Posiewka, J. Bijok, G. Jakil, T. Roszkowski.prenatal diagnosis. 35. 2015 Nov (11): 1093-6.[QxMD Link MEDLINE].

  17. Haeusler MC, Berghold A, Stoll C, Barisic I, Clementi M, for the EUROSCAN study group. Antenatal ultrasonographic detection of gastrointestinal obstruction: results from 18 European congenital anomalies registries.prenatal diagnosis. 2002 Jul 22(7): 616-23.[QxMD Link MEDLINE].

  18. Shawis R, Antao B. Prenatal bowel dilatation and subsequent postnatal management.Early buzz development. 2006 May. 82(5):297-303.[QxMD Link MEDLINE].

    (Video) Duodenal Atresia

  19. Britton JR, Britton HL. Gastric aspirate volume at birth as an indicator of congenital intestinal obstruction.Pediatric Act. August 84, 1995 (8): 945-6.[QxMD Link MEDLINE].

  20. Grau SW, Skandalakis JE.Embryology for Surgeons: The Embryological Basis for the Treatment of Birth Defects. . . . Filadelfia, Pensilvania: WB Saunders; 1972. 147–8.

  21. van der Zee DC. Laparoscopic repair of duodenal atresia: review.Welt-J Surgery. 35. August 2011 (8): 1781-4.[QxMD Link MEDLINE].

  22. Rosales-Velderrain A, Betancourt A, Alkhoury F. Laparoscopic repair of duodenal atresia in low birth weight newborns.at the surgeon. 80. 2014 September (9): 834-5.[QxMD Link MEDLINE].

  23. Li B, Chen WB, Zhou WY. Laparoscopic methods for the treatment of congenital duodenal obstruction in the newborn.J Laparoendosc Adv Surg Tech A. 2013 Oct 23 (10): 881-4.[QxMD Link MEDLINE].

  24. Ghaffarpour N, Svensson PJ, Svenningsson A, Wester T, Mesas Burgos C. Supraumbilical incision with U-u umbilicoplasty in congenital duodenal atresia: the Stockholm experience.J Pediatr Surg. 48. 2013 September (9): 1981-5.[QxMD Link MEDLINE].

  25. Balakumar V, DeRoss AL, Kouretas PC, Boulanger SC, Barksdale EM. Pylorus exclusion for the treatment of complicated duodenal atresia.neonatology. 2014. 105 (4): 263-6.[QxMD Link MEDLINE].

  26. Brantberg A, Blaas HG, Salvesen KA, Haugen SE, Möllerlokken G, Eik-Nes SH. Fetal duodenal obstruction: increased risk of sudden prenatal death.Ultrassom Obstet Gynecol. November 2002(5):439-46.[QxMD Link MEDLINE].

  27. Brockel MA, Polaner DM, Vemulakonda VM. Pediatric anesthesia without patient.Urol Clin Norte Am. 45. 2018 Nov (4): 551-60.[QxMD Link MEDLINE].

    (Video) Gastrointestinal Embryology Section 4 Intestinal Atresia –

  28. Miscia ME, Lauriti G, Lelli Chiesa P, Zani A. Duodenal atresia and associated intestinal atresia: cohort study and review of the literature.Kinderchirurgie Int. 2019 Jan 35 (1): 151-7.[QxMD Link MEDLINE].

  29. Rothenberg-SS. Laparoscopic duodenoduodenostomy for duodenal obstruction in infants and children.J Pediatr Surg. 2002 Jul 37 (7): 1088-9.[QxMD Link MEDLINE].

  30. Spilde TL, St Peter SD, Keckler SJ, Holcomb GW 3rd, Snyder CL, Ostlie DJ. Open vs laparoscopic repair of congenital duodenal obstruction: a concurrent series.J Pediatr Surg. 2008 Jun 43(6):1002-5.[QxMD Link MEDLINE].

  31. St Peter SD, Little DC, Barsness KA, et al. Should we be concerned about jejunoileal atresia during duodenal atresia repair?J Laparoendosc Adv Surg Tech A. 2010 Nov 20 (9): 773-5.[QxMD Link MEDLINE].

  32. Adzick NS, Harrison MR, deLorimier AA. Conical duodenoplasty for megaduodenum associated with duodenal atresia.J Pediatr Surg. 1986, Apr 21(4): 311-2.[QxMD Link MEDLINE].

  33. SH, Kim PC, Miller HA. Delayed repair of nonfunctioning duodenal atresia: a second look.J Pediatr Surg. 2000 May. 35(5):690-1.[QxMD Link MEDLINE].

  34. Dewberry LC, Hilton SA, Vuille-Dit-Bille RN, Liechty KW. Conical duodenoplasty: a beneficial adjunct in the treatment of congenital duodenal obstruction.J Int. Medicine. beef. 2020 Jan 48(1):300060519862109.[QxMD Link MEDLINE].

  35. Bax NM, Ure BM, van der Zee DC, van Tuijl I. Duodenoduodenostomia laparoscopea para atresia duodenal.Endoscopic Surgery. 2001-02-15 (2): 217.[QxMD Link MEDLINE].

  36. Mentessidou A, Saxena AK. Laparoscopic repair of duodenal atresia: systematic review and meta-analysis.Welt-J Surgery. 41. August 2017 (8): 2178-84.[QxMD Link MEDLINE].

    (Video) Atresia: Types of Duodenal Atresia | Dr. Saurabh Dixit | General Surgery | NEET SS

  37. Son TN, Kien HH. Laparoscopic versus open surgery in the treatment of congenital duodenal obstruction in the newborn: experience from a single center with 112 cases.J Pediatr Surg. 2017 Dec 52(12):1949-51.[QxMD Link MEDLINE].

  38. Sidler M, Djendov F, Curry JI, et al. Potential benefits of laparoscopic repair of duodenal atresia: insights from a retrospective comparative study.Eur J Pediatr Surg. 2020 Feb 30(1):33-8.[QxMD Link MEDLINE].

  39. Parmentier B, Peycelon M, Muller CO, El Ghoneimi A, Bonnard A. Laparoscopic treatment of congenital duodenal atresia or stenosis: a first single-center experience.J Pediatr Surg. 50. 2015 Nov (11): 1833-6.[QxMD Link MEDLINE].

  40. Dewberry LC, Vuille-Dit-Bille RN, Kulungowski AM, Somme S. A case series of single-surgeon laparoscopic duodenoduodenostomy for congenital duodenal obstruction in an academic setting.J Laparoendosc Adv Surg Tech A. 2018 Dec 28(12):1517-9.[QxMD Link MEDLINE].

  41. Holler AS, Munsterer OJ, Martynov I, Gianicolo EA, Lacher M, Zimmermann P. Repair of duodenal atresia with a miniature stapler compared with open laparoscopic and hand-stitched techniques.J Laparoendosc Adv Surg Tech A. 2019 Oct 29 (10): 1216-22.[QxMD Link MEDLINE].

  42. Valusek PA, Spilde TL, Tsao K, St Peter SD, Holcomb GW 3rd, Ostlie DJ. Laparoscopic correction of duodenal atresia with surgical U-clips: a new technique.Endoscopic Surgery. 2007 Jun 21(6):1023-4.[QxMD Link MEDLINE].

  43. Arnbjornsson E, Larsson M, Finkel Y, Karpe B. Transanastomotic feeding tube after surgery for duodenal atresia.Eur J Pediatr Surg. 2002 Jun 12 (3): 159-62.[QxMD Link MEDLINE].

  44. S. Bairdain, DC Yu, C. Lien et al. A modern cohort of patients with duodenal obstruction: predictors of late transition to total enteral nutrition.J Nutr Metab. 2014. 2014:850820.[QxMD Link MEDLINE].

  45. Goering J, Isoldi S, Sharma S, et al. Natural Orifice Endoluminal Technique (NOEL) for the treatment of congenital duodenal membranes.J Pediatr Surg. 2020 Feb 55(2):282-5.[QxMD Link MEDLINE].

    (Video) Duodenal atresia

  46. Barabino A, Arrigo S, Gandullia P, Vignola S. Duodenal web: complications and failures of endoscopic treatment.Endoscopia gastrointestinal. 2012 May. 75(5):1123-4.[QxMD Link MEDLINE].

  47. Barabino A, Gandullia P, Arrigo S, Vignola S, Mattioli G, Grattarola C. Successful endoscopic treatment of the double duodenal membrane in an infant.Endoscopia gastrointestinal. 2011, Feb 73(2): 401-3.[QxMD Link MEDLINE].

  48. Chung PH, Wong CW, Ip DK, Tam PK, Wong KK. Is laparoscopic surgery better than open surgery to repair congenital duodenal obstruction? A review of the current evidence.J Pediatr Surg. 2017 Mar 52(3):498-503.[QxMD Link MEDLINE].

FAQs

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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