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Gastrointestinal duplications in Ile-Ife, Nigeria
O Adejuyigbe1, O S Olayinka, O A Sowande
1Department of Surgery, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
Insights
Gastrointestinal duplications are rare congenital malformations. Diagnosis in older patients is challenging, requiring a high index of suspicion for effective management.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
- Gastrointestinal Surgery
Background:
- Gastrointestinal duplications are rare congenital malformations.
- Diagnosis is often delayed in older patients due to nonspecific clinical features.
- This study addresses diagnostic and management challenges in Ile-Ife, Nigeria.
Purpose of the Study:
- To document surgical challenges of gastrointestinal duplications globally.
- To report management experience of gastrointestinal duplications in Ile-Ife, Nigeria.
Main Methods:
- Retrospective study of clinical records.
- Analysis of patients diagnosed with gastrointestinal duplication.
- Study conducted at a Paediatric and General Surgical unit in Nigeria.
Main Results:
- Five cases of gastrointestinal duplication diagnosed.
- Patient ages ranged from 28 days to 52 years.
- Common sites included gastric, ileal, and rectal duplications; all were cystic. Management included excision, mucosal stripping, or internal drainage with satisfactory outcomes.
Conclusions:
- Gastrointestinal duplications present later in life in this environment.
- Early diagnosis relies on a high index of suspicion.
- Surgeons must be familiar with managing these rare conditions.
Background:
Gastrointestinal duplications are rare congenital malformations that commonly present within the first year of life. When they present in older age groups, diagnosis is often difficult. This difficulty derives from the lack of specific clinical features attributable to these lesions
Objectives:
To document the challenges posed to surgeons by gastrointestinal duplications in different parts of the world and to report our experience in its management in Ile-Ife, Nigeria.
Design:
A retrospective study. It involved a study of the clinical records of all patients diagnosed to have gastrointestinal duplication in our hospital.
Setting:
A Paediatric and General Surgical unit, University of Ile-Ife Teaching Hospital, Ile-Ife, Nigeria..
Results:
Five patients were diagnosed to have gastrointestinal duplications over the of the study. The ate, ranged from 28 days to 52 years. There were four males and one female. One patient presented within the first month of life. The others presented after the age of one year. There were two gastric, two ileal and one rectal duplication. All had the cystic variety of duplication. Three of the patients had excision, one had mucosal stripping and one had internal drainage of the duplication. The outcome was satisfactory in all of them.
Conclusion:
Duplications tend to present at a much older-age group in our environment. Early diagnosis therefore depends on a high index of suspicion and every surgeon operating in the abdomen must be familiar with the management of this condition.