Abstract
When the duodenum is congenitally obstructed it becomes distended to varying degrees. Our case of combined duodenal and multiple jejunal atresias indicates the value of duodenoplasty for symptomatic duodenomegaly diagnosed in late childhood. The technique used has restored duodenal motility and is recommended for selective use as part of the primary surgery for duodenal and proximal jejunal atresia.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Adzick NS, Harrison MR, deLorimier AA (1986) Tapering duodenoplasty for megaduodenum associated with duodenal atresia. J Pediatr Surg 21: 311–312
Aubrespy P, Derlon S, Seriat-Gautier B (1978) Congenital duodenal obstruction: a review of 82 cases. Prog Pediatr Surg 11: 109–124
Ein SH, Shandling B (1986) The late nonfunctioning duodenal atresia repair. J Pediatr Surg 21: 798–801
Girvan DP, Stephens CA (1974) Congenital intrinsic duodenal obstruction: a twenty year review of its surgical management and consequences. J Pediatr Surg 9: 833–839
Howard ER, Othersen BH (1973) Proximal jejunoplasty in the treatment of jejunal atresia. J Pediatr Surg 8: 685–690
Hutton KAR, Thomas DFM (1988) Tapering duodenoplasty. Pediatr Surg Int 3: 132–134
Kimura K, Tsugawa C, Ogawa K, Matsumoto Y, Yamamoto T, Asada S (1977) Diamond-shaped anastomosis for congenital duodenal obstruction. Arch Surg 112: 1262–1263
Louw JH (1952) Congenital atresia and severe stenosis in the newborn. S Afr J Clin Sci 3: 109
Nixon HH (1960) An experimental study of propulsion in isolated small intestine and application to surgery in the newborn. Ann Roy Coll Surg Engl 27: 105
Sherman JO, Schulten M (1974) Operative correction of duodenomegaly. J Pediatr Surg 9: 461–464
Stauffer UG (1988) Duodenoduodenostomy. In: Spitz L, Nixon HH (eds) Rob and Smith's operative surgery/pediatric surgery. Butterworths, London, pp 273–277
Stauffer UG, Irving I (1977) Duodenal atresia and stenosis — long term results. Prog Pediatr Surg 10: 49–60
Weber TR, Lewis JE, Mooney D, Connors R (1986) Duodenal atresia: a comparison of techniques of repair. J Pediatr Surg 21: 1133–1136
Weisgerber G, Boureau M (1982) Immediate and secondary results of duodenoduodenostomies with tapering. Chir Pediatr 23: 369–372
Weitsman JJ, Brennan LP (1974) An improved technique for the correction of congenital duodenal obstruction in the neonate. J Pediatr Surg 9: 385–388
Author information
Authors and Affiliations
Additional information
Offprint requests to: E. J. Guiney
Rights and permissions
About this article
Cite this article
Dewan, P.A., Guiney, E.J. Duodenoplasty in the management of duodenal atresia. Pediatr Surg Int 5, 253–254 (1990). https://doi.org/10.1007/BF00169664
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00169664