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Published on: September 28, 2019
The late nonfunctioning duodenal atresia repair--a second look
1Division of General Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Journal of Pediatric Surgery
|May 17, 2000
Summary
Late-onset duodenal obstruction after newborn repair of duodenal atresia can occur. Duodenal plication effectively treats this rare complication, even years after the initial surgery.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Duodenal atresia repair in newborns can rarely lead to late-onset functional obstruction.
- Previous reports documented this complication occurring 6-18 months postoperatively.
Observation:
- Two additional cases of late-onset duodenal obstruction following neonatal duodenal atresia repair were identified.
- Obstruction occurred 5 and 24 years after the initial surgical repair.
Findings:
- A 5-year-old boy with obstruction was successfully treated with duodenal plication.
- A 24-year-old patient required multiple bypass surgeries before duodenal plication resolved symptoms.
Implications:
- Duodenal plication is an effective treatment for late-onset functional obstruction after neonatal duodenal atresia repair.
- This condition, though uncommon, requires consideration in patients with a history of duodenal atresia repair presenting with obstructive symptoms years later.
