Comparison of outcomes between complete and incomplete congenital duodenal obstruction.
Age Factors
Child
Child, Preschool
Digestive System Surgical Procedures
/ methods
Duodenal Obstruction
/ congenital
Duodenum
/ abnormalities
Enteral Nutrition
/ statistics & numerical data
Female
Gestational Age
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Laparoscopy
/ methods
Male
Postoperative Period
Retrospective Studies
Treatment Outcome
Adverse events
Clinical presentation
Congenital duodenal obstruction
Duodenal atresia
Duodenal stenosis
Outcome
Prenatal ultrasonographic detection rate
Preoperative diagnostics
Journal
World journal of gastroenterology
ISSN: 2219-2840
Titre abrégé: World J Gastroenterol
Pays: United States
ID NLM: 100883448
Informations de publication
Date de publication:
28 Jul 2019
28 Jul 2019
Historique:
received:
29
03
2019
revised:
13
06
2019
accepted:
05
07
2019
entrez:
9
8
2019
pubmed:
9
8
2019
medline:
15
2
2020
Statut:
ppublish
Résumé
Congenital duodenal obstruction (CDO) can be complete (CCDO) or incomplete (ICDO). To date there is no outcome analysis available that compares both subtypes. To quantify and compare the association between CCDO and ICDO with outcome parameters. We retrospectively reviewed all patients who underwent operative repair of CCDO or ICDO in our tertiary care institution between January 2004 and January 2017. The demographics, clinical presentation, preoperative diagnostics and postoperative outcomes of 50 patients were compared between CCDO ( In total, 50 patients who underwent CDO repair were enrolled and followed for a median of 5.2 and 3.9 years (CCDO and ICDO, resp.). CCDO was associated with a significantly higher prenatal ultrasonographic detection rate (88% versus 4%; CCDO CCDO and ICDO differ with regard to prenatal detection rate, gestational age, age and weight at operation, rate of associated CHD, preoperative diagnostics and morbidity. The degree of CDO in mature patients without CHD influences the postoperative initiation of enteral feeding.
Sections du résumé
BACKGROUND
BACKGROUND
Congenital duodenal obstruction (CDO) can be complete (CCDO) or incomplete (ICDO). To date there is no outcome analysis available that compares both subtypes.
AIM
OBJECTIVE
To quantify and compare the association between CCDO and ICDO with outcome parameters.
METHODS
METHODS
We retrospectively reviewed all patients who underwent operative repair of CCDO or ICDO in our tertiary care institution between January 2004 and January 2017. The demographics, clinical presentation, preoperative diagnostics and postoperative outcomes of 50 patients were compared between CCDO (
RESULTS
RESULTS
In total, 50 patients who underwent CDO repair were enrolled and followed for a median of 5.2 and 3.9 years (CCDO and ICDO, resp.). CCDO was associated with a significantly higher prenatal ultrasonographic detection rate (88% versus 4%; CCDO
CONCLUSION
CONCLUSIONS
CCDO and ICDO differ with regard to prenatal detection rate, gestational age, age and weight at operation, rate of associated CHD, preoperative diagnostics and morbidity. The degree of CDO in mature patients without CHD influences the postoperative initiation of enteral feeding.
Identifiants
pubmed: 31391773
doi: 10.3748/wjg.v25.i28.3787
pmc: PMC6676550
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3787-3797Déclaration de conflit d'intérêts
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Références
J Laparoendosc Adv Surg Tech A. 2015 Feb;25(2):163-6
pubmed: 25536359
Arch Med Sci. 2016 Oct 1;12(5):1023-1027
pubmed: 27695493
Pediatr Surg Int. 2000;16(5-6):342-5
pubmed: 10955559
Ir J Med Sci. 2016 Aug;185(3):695-698
pubmed: 26216363
Ann Surg. 2013 Jul;258(1):1-7
pubmed: 23728278
J Nutr Metab. 2014;2014:850820
pubmed: 25210625
Arch Surg. 1998 May;133(5):490-6; discussion 496-7
pubmed: 9605910
J Ultrasound Med. 2016 Sep;35(9):1931-8
pubmed: 27466262
World J Surg. 1993 May-Jun;17(3):301-9
pubmed: 8337875
Insights Imaging. 2018 Apr;9(2):121-135
pubmed: 29388052
Gastroenterology. 2016 Feb 15;:
pubmed: 27144631
Eur J Pediatr Surg. 2008 Apr;18(2):93-7
pubmed: 18437652
J Pediatr Surg. 1993 Jan;28(1):92-5
pubmed: 8429481
Pediatr Surg Int. 2009 Aug;25(8):727-30
pubmed: 19551391
Breast J. 2012 Nov-Dec;18(6):615-6
pubmed: 23110410
Radiographics. 2001 Oct;21 Spec No:S147-60
pubmed: 11598254
World J Pediatr. 2014 Aug;10(3):238-44
pubmed: 25124975
Ann Surg. 2004 Aug;240(2):205-13
pubmed: 15273542
Surg Endosc. 2017 Jun;31(6):2406-2410
pubmed: 27655378