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Atresia duodenal

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18 papers 25 to 100 followers
By Alejandro Peñarrieta Daher Residente de Cirugía Pediatrica en Hospital Infantil de México Federico Gómez
https://www.readbyqxmd.com/read/27655378/laparoscopic-duodenoduodenostomy-with-parallel-anastomosis-for-duodenal-atresia
#1
Chaeyoun Oh, Sanghoon Lee, Suk-Koo Lee, Jeong-Meen Seo
BACKGROUND: Currently, a diamond-shaped anastomosis is preferred for the surgical repair of duodenal atresia (DA) in both open and laparoscopic surgery. We report the results of laparoscopic duodenoduodenostomy with parallel anastomosis (LDPA) in DA. METHODS: We retrospectively reviewed 22 patients who underwent laparoscopic duodenoduodenostomy from February 2005 to May 2015 in Samsung Medical Center. All patients underwent operation within the first month after birth...
September 21, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/18558173/open-vs-laparoscopic-repair-of-congenital-duodenal-obstructions-a-concurrent-series
#2
COMPARATIVE STUDY
Troy L Spilde, Shawn D St Peter, Scott J Keckler, George W Holcomb, Charles L Snyder, Daniel J Ostlie
OBJECTIVE: The advantages of using laparoscopy for repair of congenital duodenal obstructions (CDO) are unclear because of scant data about complications and outcomes. Nitinol U-clips (Medtronic Surgical, Minneapolis, Minn) were developed to assist in the creation of vascular anastomoses in small vessels. Because of their ability to approximate tissue tightly with little tissue damage, we have begun to use these U-clips for laparoscopic repair of CDO. In this report, we investigate the impact of laparoscopic U-clip repair of CDO compared to the traditional open repair...
June 2008: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/19433167/laparoscopic-duodenoduodenostomy-in-the-neonate
#3
Saundra Kay, Suzanne Yoder, Steve Rothenberg
BACKGROUND: Minimally invasive procedures are performed in neonates for an ever-expanding list of congenital anomalies. The laparoscopic repair of duodenal atresia and stenosis in the neonate is one such indication. METHOD: We report our experience with the laparoscopic duodenoduodenostomy for duodenal atresia and stenosis in the neonate over the past 4 years. A retrospective chart review was conducted on all cases of duodenal atresia and stenosis diagnosed at our center between January 2004 and January 2008...
May 2009: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/21604051/laparoscopic-repair-of-duodenal-atresia-revisited
#4
David C van der Zee
BACKGROUND: Since the initial reports of laparoscopic repair of duodenal atresia in neonates, further reports have been scant. Could this be because of unacceptable rates of complications, like anastomotic leakage, as mentioned in later reports? In the present study the laparoscopic repair of duodenal atresia in neonates is revisited. PATIENTS: Group 1 consisted of 22 patients with duodenal obstruction between 2000-2005 until the laparoscopic approach was abandoned...
August 2011: World Journal of Surgery
https://www.readbyqxmd.com/read/15185160/duodenal-atresia-and-gastric-antral-web-a-significant-lesson-to-learn
#5
C Ferguson, A Morabito, A Bianchi
We report the case of a child who had a duodenal atresia and also a gastric-antral web. The two conditions are not known to be associated. The child had a duodenoduodenostomy for the duodenal atresia that had been diagnosed on a "double bubble" appearance at antenatal ultrasound scan. She eventually had a second laparotomy due to persistent gastric outlet obstruction, at which a pyloroplasty was performed and an antral web excised. The child remains well four months after discharge. This case has taught us several salutary lessons, which we consider relevant to share with colleagues...
April 2004: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/2213450/diamond-shaped-anastomosis-for-duodenal-atresia-an-experience-with-44-patients-over-15-years
#6
K Kimura, N Mukohara, E Nishijima, T Muraji, C Tsugawa, Y Matsumoto
During the period between 1974 and 1988 44 patients were treated for congenital intrinsic duodenal obstruction using a diamond-shaped anastomosis (35 atresias, including two multiple atresias and nine stenoses). Neither gastrostomy nor transanastomotic tube was used. Postoperatively, oral feeding was started on days 2 to 6 (3.66 +/- 1.41 day). Intravenous fluid administration was discontinued on days 3 to 20 (7.54 +/- 3.58 day). Fourteen patients died, none related to the operative procedure. Of 30 survivors, 21 patients have been followed from 6 months to 15 years...
September 1990: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/19946416/the-modified-kimura-s-technique-for-the-treatment-of-duodenal-atresia
#7
Biagio Zuccarello, Antonella Spada, Antonio Centorrino, Nunzio Turiaco, Maria Rosaria Chirico, Saveria Parisi
Background/Purpose. Kimura's diamond-shaped-duodenoduodenostomy (DSD) is a known technique for the correction of congenital intrinsic duodenal obstruction. We present a modification of the technique and review the advantages of this new technique. Methods. From 1992 to 2006, 14 newborns were treated for duodenal atresia. We inverted the direction of the duodenal incisions: a longitudinal incision was made in the proximal duodenum while the distal was opened by transverse incision. Results. Our "inverted-diamond-shaped-duodenoduodenostomy" (i-DSD) allowed postoperative oral feeding to start on days 2 to 3, peripheral intravenous fluids discontinuity on days 3 to 8 (median values 3...
2009: International Journal of Pediatrics
https://www.readbyqxmd.com/read/24682563/is-routine-preoperative-screening-echocardiogram-indicated-in-all-children-with-congenital-duodenal-obstruction
#8
MULTICENTER STUDY
Scott S Short, James R Pierce, Rita V Burke, Stephanie Papillon, Philip K Frykman, Nam Nguyen
INTRODUCTION: Congenital duodenal obstruction (DO) is frequently associated with congenital heart disease (CHD). Operative repair of DO is often postponed until an echocardiogram is completed, which may result in unnecessary delays. We aimed to identify and characterize CHD in children with DO to determine if appropriately selected patients could forego preoperative echocardiogram. METHODS: A two-center retrospective review of all infants with DO undergoing operative repair with completed echocardiograms was included (2003-2011)...
June 2014: Pediatric Surgery International
https://www.readbyqxmd.com/read/24556975/pyloric-exclusion-for-treatment-of-complicated-duodenal-atresia
#9
Vikram Balakumar, Anthony L DeRoss, Peter C Kouretas, Scott C Boulanger, Edward M Barksdale
Duodenal atresia (DA) is a well-described congenital anomaly that usually responds well to surgical correction. Associated defects are common, and these confounding variables often influence outcome. The authors present a case of a newborn female with an unusual constellation of problems including DA with annular pancreas, trisomy 21, and coarctation of the aorta. She developed protracted complications postoperatively and was treated with an innovative surgical strategy.
2014: Neonatology
https://www.readbyqxmd.com/read/24079961/laparoscopic-versus-open-treatment-of-congenital-duodenal-obstruction-multicenter-short-term-outcomes-analysis
#10
MULTICENTER STUDY
Aaron R Jensen, Scott S Short, Dean M Anselmo, Manuel B Torres, Philip K Frykman, Cathy E Shin, Kasper Wang, Nam X Nguyen
BACKGROUND: Laparoscopic repair of congenital duodenal obstruction has become popularized over the past decade. Comparative data on outcomes, however, are sparse. We hypothesized that laparoscopic repair of congenital duodenal obstruction could be performed with similar outcomes to traditional open repair. PATIENTS AND METHODS: Medical records for all cases of congenital duodenal obstruction from 2005 to 2011 at three academic teaching hospitals were retrospectively reviewed...
October 2013: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/24074679/supraumbilical-incision-with-u-u-umbilicoplasty-for-congenital-duodenal-atresia-the-stockholm-experience
#11
Nader Ghaffarpour, Pär-Johan Svensson, Anna Svenningsson, Tomas Wester, Carmen Mesas Burgos
BACKGROUND: Minimizing scars has become a major concern in pediatric surgery. Since Tan and Bianchi introduced the minimally invasive umbilical incision for Ramstedt's pyloromyotomy, their technique has been adopted for a variety of neonatal abdominal conditions. The aim of this study was to evaluate a modification of the skin incision. MATERIAL AND METHODS: We have modified Bianchi's original technique to access the abdomen through the linea alba by introducing a novel U-to-u umbilicoplasty and compare the results with the traditional transverse incision...
September 2013: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/23968252/laparoscopic-methods-in-the-treatment-of-congenital-duodenal-obstruction-for-neonates
#12
Bing Li, Wei-Bing Chen, Wen-Yan Zhou
OBJECTIVE: To evaluate the feasibility of and indication for laparoscopic methods for neonates with congenital duodenal obstruction. PATIENTS AND METHODS: From September 2009 to October 2012, 40 newborns with duodenal obstruction underwent exploratory laparoscopy. With a lower-pressure pneumoperitoneum of 6-8 mm Hg and a suspending suture for the right liver elevator, the procedure was performed using four trocars 3-5 mm in diameter. Under laparoscopic vision, the causes of duodenal obstruction were diagnosed, and then the operation methods were determined by the type of obstruction...
October 2013: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/23187894/the-role-of-parenteral-nutrition-following-surgery-for-duodenal-atresia-or-stenosis
#13
M Bishay, B Lakshminarayanan, A Arnaud, M Garriboli, K M Cross, J I Curry, D Drake, E M Kiely, P De Coppi, A Pierro, S Eaton
PURPOSE: In our institution, some children routinely receive parenteral nutrition (PN) following surgery for duodenal atresia/stenosis, while others do not. Our aim was to compare growth and infection rate between these two treatment strategies. METHODS: This was a retrospective study of all children undergoing surgery for duodenal atresia/stenosis over 7 years. RESULTS: Of the 54 children, 19 commenced PN soon after surgery (the 'Initial PN' group)...
February 2013: Pediatric Surgery International
https://www.readbyqxmd.com/read/22901941/repair-of-duodenal-atresia-under-spinal-anesthesia-in-a-low-birth-weight-preterm-neonate-case-report
#14
Ilhan Ciftci, Seza Apiliogullari, Inci Kara, Ergun Gunduz, Ates Duman
Duodenal atresia is a well-recognized cause of neonatal bowel obstruction. General anesthesia with tracheal intubation is the traditional anesthetic technique for surgical correction of this condition. Metabolic abnormalities and fluid deficits coupled with residual anesthetics are known to increase the risk of postoperative apnea, prolonging the operating room time and delaying extubation. Spinal anesthesia (SA) is an accepted alternative to general anesthesia in formerly preterm infants. In the current literature, there are reports of successful use of SA for simple infraumbilical surgery and, occasionally, for upper abdominal surgery, but there is no information on the use of SA in neonates for duodenal atresia repair...
August 2012: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/20701544/should-we-be-concerned-about-jejunoileal-atresia-during-repair-of-duodenal-atresia
#15
MULTICENTER STUDY
Shawn D St Peter, Danny C Little, Katherine A Barsness, Daniel R Copeland, Casey M Calkins, Suzanne Yoder, Steve S Rothenberg, Saleem Islam, Kuojen Tsao, Daniel J Ostlie
INTRODUCTION: During repair for duodenal atresia, it has been emphasized that inspection of the small bowel to identify a second atresia is required. The laparoscopic approach for repair of duodenal atresia has been criticized for its limitation to perform this step. Given that duodenal atresia and jejunoileal atresias do not share common embryologic origins, we question the validity of this concern. Therefore, we conducted a multicenter retrospective review of duodenal atresia patients to quantify the incidence of jejunoileal atresia in this population...
November 2010: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/20623293/umbilical-crease-incision-for-duodenal-atresia-achieves-excellent-cosmetic-results
#16
COMPARATIVE STUDY
Yukiko Takahashi, Tatsuro Tajiri, Kouji Masumoto, Yoshiaki Kinoshita, Satoshi Ieiri, Toshiharu Matsuura, Mayumi Higashi, Tomoaki Taguchi
BACKGROUND: The surgical procedure for treating congenital duodenal atresia has normally been performed by an upper abdominal transverse incision. Recently, duodenoduodenostomy has been attempted using an umbilical crease incision to improve the cosmetic results. METHODS: Eighteen cases of duodenal obstruction, including 15 atresia, 2 stenosis, and 1 atresia and stenosis, were treated from June 2001 to August 2009, in which 8 cases were performed via the umbilical crease incision and 10 cases via the conventional transverse incision...
October 2010: Pediatric Surgery International
https://www.readbyqxmd.com/read/15691796/analysis-of-postoperative-reoperation-for-congenital-duodenal-obstruction
#17
Qinming Zhang, Yongwei Chen, Dawei Hou, Weihong Guo
OBJECTIVE: To analyse the risk factors for reoperation after initial surgical repair of congenital duodenal obstruction and demonstrate that they can be decreased with more careful attention and more advanced techniques during surgery. METHODS: The records of newborns and infants (aged 0-2 months) who had surgical therapy for congenital duodenal obstruction in the past 30 years were reviewed and analysed. Of the 298 patients, 132 (44%) were boys and 166 (56%) were girls...
January 2005: Asian Journal of Surgery
https://www.readbyqxmd.com/read/15185215/duodenal-atresia-and-stenosis-long-term-follow-up-over-30-years
#18
REVIEW
Mauricio A Escobar, Alan P Ladd, Jay L Grosfeld, Karen W West, Frederick J Rescorla, L R Scherer, Scott A Engum, Thomas M Rouse, Deborah F Billmire
BACKGROUND: Duodenal atresia and stenosis is a frequent cause of congenital, intestinal obstruction. Current operative techniques and contemporary neonatal critical care result in a 5% morbidity and mortality rate, with late complications not uncommon, but unknown to short-term follow-up. METHODS: A retrospective review of patients with duodenal anomalies was performed from 1972 to 2001 at a tertiary, children's hospital to identify late morbidity and mortality...
June 2004: Journal of Pediatric Surgery
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