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[Membranectomy with intestinal-plasty for the treatment of duodenal and upper jejunal constrictive abnormalities]
1Department of Pediatric Surgery, First University Hospital, West China University of Medical Sciences, Chengdu, Sichuan, P. R. China 610041.
Insights
Intrinsic upper gastro-intestinal membranes in children, often presenting as vomiting and epigastric distension, can be effectively treated with membranectomy and intestinal plasty, leading to good outcomes.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Context:
- Intrinsic upper gastro-intestinal membranes are rare congenital anomalies.
- Diagnosis and treatment in pediatric patients can be challenging.
Purpose:
- To review the diagnostic and therapeutic experience of intrinsic upper gastro-intestinal membranes in 13 pediatric cases.
- To evaluate the efficacy of surgical interventions.
Summary:
- Retrospective analysis of 13 children (10 boys, 3 girls) with intrinsic upper gastro-intestinal membranes.
- Common symptoms included vomiting and epigastric distension.
- Eleven patients underwent membranectomy with intestinal plasty; two had retrocolic side-to-side duodenojejunostomy.
- All patients achieved good results without severe complications.
Impact:
- Highlights the importance of considering duodenal and upper jejunal membranes in children with suggestive symptoms.
- Supports contrast radiology as a key diagnostic tool.
- Recommends membranectomy with intestinal plasty as the preferred surgical approach for effective treatment.
Objective:
To sum up the experience of diagnosis and treatment of intrinsic upper gastro-intestinal membrane, 13 cases in children were studied retrospectively.
Methods:
There were 10 boys and 3 girls, the major symptoms were vomiting and epigastric distension. Eleven cases were treated by membranectomy with intestinal plasty, and 2 cases were treated by retrocolic side to end duodenojejunostomy.
Results:
All cases had good results without severe complications.
Conclusion:
The children who have typical symptom of upper digestive tract should be considered duodental and upper jejunal membrane, and should be proved by contrast radiology. The membranectomy with intestinal plasty is the better operative method.
