Clinical profile and predictors of outcome in congenital duodenal obstruction

Authors

  • Sankkarabarathi Chandrasekaran Department of Paediatric Surgery, Madras Medical College, Chennai, Tamil Nadu, India
  • Anirudhan Asokaraju Department of Paediatric Surgery, Stanley Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20173396

Keywords:

Congenital duodenal obstruction, Duodenal atresia, Down’s syndrome

Abstract

Background: Congenital duodenal obstruction is a broad term that refers to a variety of disorders like duodenal atresia, duodenal stenosis, annular pancreas, duodenal membrane and preduodenal portal vein. The aim of this study was to analyse in detail the entire clinical profile of duodenal obstruction and to study the short-term outcome.

Methods: A prospective descriptive study was conducted in the Department of Paediatric Surgery, Institute of child Health and Hospital for Children, Egmore, Chennai, among all babies with suspected duodenal obstruction based on clinical symptoms and subsequently proven by surgery from September 2013 to January 2015. Fifty babies were selected for this study based on the eligibity criteria.

Results: Upper gastrointestinal contrast radiography is the gold standard investigation in diagnosing duodenal membrane with a hole. The type of surgery such as the duodenoplasty, duodenoduodenostomy or duodenojejunal anastomosis did not affect the post-op outcome.

Conclusions: Long term follow up is warranted to know the actual incidence of requirement for redo procedure for feed intolerance. The presence of coexisting Down’s syndrome and congenital cardiac lesions increases the mortality rate in these children.

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References

Brinkley MF, Tracy ET, Maxfield CM. Congenital duodenal obstruction: causes and imaging approach. Pediatr Radiol. 2016;46(8):1084-95.

Zuccarello B, Spada A, Centorrino A, Turiaco N, Chirico MR, Parisi S. The Modified Kimura's Technique for the Treatment of Duodenal Atresia. Int J Ped. 2009;2009:1-5.

Arumugam A, Raja K, Venugopalan M, Chandrasekaran B, Kovanur Sampath K, Muthusamy H, et al. Down syndrome-A narrative review with a focus on anatomical features. Clin Anat. 2016;29(5):568-77.

Nijhawan S, Kumpawat S, Mallikarjun P, Bansal RP, Singla D, Ashdhir P, et al. Barium meal follow through with pneumocolon: Screening test for chronic bowel pain. World J Gastroenterol. 2008;14(43):6694-8.

Kaldor J. Atresia of the duodenum and duodenal diverticula. Ann surg. 1929;89(1):6-11.

Powell DM, Othersen HB, Smith CD. Duodenal obstruction in children: The effect of age on presentation and therapy. J Pediatr Surg. 1989;24:777.

Porto SO. Jaundice in congenital duodenal obstruction. Am J Dis Child. 1969;117:684.

Willwerth BM, Zollinger RM, Izant RJ. Congenital mesocolic (paraduodenal) hernia: Embryologic basis of repair. Am J Surg. 1974;128:358.

YK Sarin. Duodenal webs a case series. J Neonatal Surg. 2012;4:28.

Devlin HB. Midgut malrotation causing intestinal obstruction in adult patients. Ann R Coll Surg Engl. 1971;48:227.

Orzech N, Navarro OM, Langer JC. Is ultrasonography a good screening test for duodenal obstruction? J Pediatr Surg. 2006;41(5):1005-9.

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Published

2017-07-24

How to Cite

Chandrasekaran, S., & Asokaraju, A. (2017). Clinical profile and predictors of outcome in congenital duodenal obstruction. International Surgery Journal, 4(8), 2605–2611. https://doi.org/10.18203/2349-2902.isj20173396

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Section

Original Research Articles