Electronic Resource
Springer
Pediatric surgery international
7 (1992), S. 435-437
ISSN:
1437-9813
Keywords:
Duodenal atresia
;
Duodenal obstruction
;
Duodenal stenosis
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract The aim of this study was the assessment of mortality, morbidity, and associated anomalies in a series of 44 patients with congenital intrinsic duodenal obstruction admitted to the Amsterdam Pediatric Surgical Center between 1975 and 1989. Twenty-two patients were girls and 22 were boys. Severe associated anomalies were considered a contraindication for surgery in 8 children. Of the 36 who were operated upon, 8 died within the first year and a half of life. Associated anomalies consisted of trisomy 21 in 11 patients, cardiac defects in 14 (8 with trisomy 21), skeletal defects in 4, esophageal atresia in 3 (in 2 combined with imperforate anus), and various other anomalies in 5. Among the 6 patients with trisomy 21 who were operated upon, 3 died within 18 months after surgery. The surviving 3 in this group are all below the normal average weight for age. All patients without associated anomalies did well postoperatively. One patient developed a bowel obstruction at age 2 years. It appears from this study that the eventual outcome in children with duodenal atresia is determined almost exclusively by the presence or absence of associated anomalies.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00178823
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