Scrutinising the factors determining the adverse outcome following duodenal atresia surgery in children

An institutional based study

https://doi.org/10.53730/ijhs.v6nS6.12358

Authors

  • Monica Agarwal Associate Professor, Department of Paediatrics, Rajshree Medical Research Institute and Hospital, Bareilly, Uttar Pradesh, India
  • Amit Agarwal Assistant Professor, Department of Surgery, Rajshree Medical Research Institute and Hospital, Bareilly, Uttar Pradesh, India

Keywords:

congenital duodenal obstruction, congenital abnormalities, duodenal atresia

Abstract

Introduction: The most common causes of congenital abnormalities reported in newborns is duodenal obstruction. There are several conditions which may lead to worsen the patient’s prognosis are prematurity, type of obstruction and the type of surgery performed. The major objective of the present study was to summarise our clinical experience with 34 infants with duodenal atresia who underwent surgical procedures over the past 20 years. Materials and Methodology: Of the total of 96 patients, those who were reported with the diagnosis of duodenal atresia were included in the study. And this group comprised of 34 patients. The group was compared in terms of sex, birth weight, age at the time of the operation and morbidity rates. All patients were assessed by neonatal and other relevant specialists when observed to be presented with additional anomalies. Data were analysed using SPSS software (ver. 15.0; SPSS Inc., Chicago, IL, USA). Results: Of the 34 patients, 22 were males and 12 females, with a mean birth weight of 2.282.92 ± 592.98 (range, 1,180-3,400) g. The average age at the time of the operation was 6.98 ± 5.09 (range, 1-38) days. 

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References

Adzick NS, Harrison MR, deLorimier AA. Tapering duodenoplasty for megaduodenum associated with duodenal atresia. J Pediatr Surg. 1986 Apr;21(4):311-2.

Bailey PV, Tracy TF Jr, Connors RH, Mooney DP, Lewis JE, Weber TR. Congenital duodenal obstruction: a 32-year review. J Pediatr Surg. 1993 Jan;28(1):92-5.

Bales C, Liacouras CA. Intestinal atresia, stenosis, and malrotation. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, eds. Nelsons Textbook of Pediatrics. 20th ed. Philadelphia: WB Saunders; 2016.

Chandrasekaran S, Asokaraju A. Clinical profile and predictors of outcome in congenital duodenal obstruction. Int Surg J. 2017;4(8):2605- 2611.

Dalla Vecchia LK, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, Engum SA.Intestinal atresia and stenosis: a 25-year experience with 277 cases. Arch Surg. 1998 May;133(5):490-6; discussion 496-7.

Dalla Vecchia LK, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, Engum SA.Intestinal atresia and stenosis: a 25-year experience with 277 cases. Arch Surg. 1998 May;133(5):490-6; discussion 496-7.

Daniaty, T. O. W., Wardani, I. A. K., & Ariani, N. K. P. (2022). Psychiatric aspects and the role of consultation liaison psychiatry (CLP) in traumatic amputation due to electrical burns for adolescents. International Journal of Health & Medical Sciences, 5(4), 253-259. https://doi.org/10.21744/ijhms.v5n4.1947

Escobar MA, Ladd AP, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, et al. Duodenal atresia and stenosis: long-term follow-up over 30 years. J Pediatr Surg. 2004 Jun;39(6):867-71.

Gfroerer S, Theilen TM, Fiegel HC, Esmaeili A, Rolle U. Comparison of outcomes between complete and incomplete congenital duodenal obstruction. World J Gastroenterol. 2019;25:3787-3797.

Kilbride H, Castor C, Andrews W. Congenital duodenal obstruction: timing of diagnosis during the newborn period. J Perinatol. 2010 Mar;30(3):197-200.

Kimura K, Loening-Baucke V. Bilious vomiting in the newborn: rapid diagnosis of intestinal obstruction. Am Fam Physician. 2000 May;61(9):2791-8.

Kimura K, Mukohara N, Nishijima E, Muraji T, Tsugawa C, Matsumoto Y. Diamond shaped anastomosis for duodenal atresia: an experience with 44 patients over 15 years. J Pediatr Surg. 1990 Sep;25(9):977-9.

Kimura K, Tsugawa C, Ogawa K, Matsumoto Y, Yamamoto T, Asada S. Diamond shaped anastomosis for congenital duodenal obstruction. Arch Surg. 1977 Oct;112(10):1262-3.

Kumar P, Kumar C, Pandey PR, Sarin YK. Congenital duodenal obstruction in neonates: over 13 years experience from a single. J Neonatal Surg. 2016;5:50.

Magnuson DK, Schwartz Mz. Stomac and duodenum, Principles and practice of pediatric surgery; Oldham KT, Colombani PM, Foglia RP, Skinner MA (Editors); second edition. Lippincott Williams and Wilkins, Philadelphia. 2005, chapter 72, P: 1149- 79.

Mikaelsson C, Arnbjörnsson E, Kullendorff CM. Membranous duodenal stenosis. Acta Paediatr. 1997 Sep;86(9):953-5.

Millar AJW,Rode H, Cywes S. Intestinal atresia and stenosis in: Ashcroft KW, Holcomb GW, Murphy JP (eds). Pediatr Surgery 2005 4th edn Saunders: Philadelphia, PA pp 416- 34.

Mustafawi AR, Hassan ME. Congenital duodenal obstruction in children: a decade's experience. Eur J Pediatr Surg. 2008 Apr;18(2):93-7.

Puger, A. W., Mahardika, I. G., Suarna, I. W., & Suryani, N. N. (2022). Growth and productivity of Kampung chicken fed with different protein levels. International Journal of Life Sciences, 6(2), 49–64. https://doi.org/10.53730/ijls.v6n2.9804

Richardson WR, Martin LW. Pitfalls in the surgical management of the incomplete duodenal diaphragm. J Pediatr Surg. 1969 Jun;4(3):303-12.

Rowe MI, Buckner D, Clatworthy HW Jr. Wind sock web of the duodenum. Am J Surg. 1968 Sep;116(3):444-9.

Spigland N, Yazbeck S. Complications associated with surgical treatment ofcongenital intrinsic duodenal obstruction. J Pediatr Surg. 1990 Nov;25(11):1127-30.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937

Weber TR, Lewis JE, Mooney D, Connors R. Duodenal atresia: a comparison of techniques of repair. J Pediatr Surg. 1986 Dec;21(12):1133-6.

Published

01-09-2022

How to Cite

Agarwal, M., & Agarwal, A. (2022). Scrutinising the factors determining the adverse outcome following duodenal atresia surgery in children: An institutional based study. International Journal of Health Sciences, 6(S6), 8804–8809. https://doi.org/10.53730/ijhs.v6nS6.12358

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Peer Review Articles