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An unusual pyloric obstruction: gastroduodenal mucosal intussusception

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Abstract

Gastroduodenal mucosal intussusception was recently observed in a baby girl born with esophageal atresia. After ligation of the tracheoesophageal fistula, a gastrostomy tube was inserted. At 3 months of age an esophagoesophageal anastomosis was performed and oral feeding was begun that resulted in vomiting. An upper gastrointestinal endoscopy confirmed the normal viability of the esophagus and showed intussusception of gastric mucosa into the duodenum. At laparotomy, a wide pylorotomy was done and the intussuscepted mucosa was resected and a pyloroplasty performed. Ten days postoperatively oral feeding was restarted successfully.

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References

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Del Rossi, C., de' Angelis, G.L., Beseghi, U. et al. An unusual pyloric obstruction: gastroduodenal mucosal intussusception. Pediatr Surg Int 5, 59–60 (1990). https://doi.org/10.1007/BF00179641

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