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Intestinal duplications--experience in 6 cases
Stanko Cavar1, Marko Bogović, Tomislav Luetić
1Department of Pediatric Surgery, Clinical Hospital Center Rebro, Zagreb, Croatia.
Insights
Intestinal duplications are rare congenital anomalies. Early detection via prenatal ultrasound allows timely treatment, improving outcomes for affected infants.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Gastrointestinal Development
Background:
- Intestinal duplications are uncommon congenital malformations.
- Presentation varies with location, size, and ectopic gastric mucosa.
- Antenatal detection is increasing due to improved ultrasound technology.
Observation:
- This study reviews 6 cases of intestinal duplications treated between February 2002 and October 2005.
- Prenatal ultrasound identified a significant number of cases.
- Clinical presentation was influenced by lesion characteristics.
Findings:
- Surgical resection of the duplication, ideally without adjacent bowel, is the preferred treatment.
- En bloc resection or partial excision with mucosectomy may be indicated in specific scenarios.
- Early diagnosis facilitates prompt intervention and complication avoidance.
Implications:
- Prenatal diagnosis of intestinal duplications is crucial for optimal management.
- Tailored surgical approaches ensure effective treatment of these rare anomalies.
- Understanding presentation aids in timely diagnosis and intervention for pediatric gastrointestinal conditions.
Abstract:
Intestinal duplications are rare congenital anomalies, and most of them are detected in the first 2 years of life or antenatally. The clinical presentation depends on location, size, and the presence of ectopic gastric mucosa. Ultrasound scans during pregnancy result in a higher rate of antenatally detected duplications which allows early treatment and avoidance of possible complications. Resection of the duplication without adjacent bowel should be the treatment of choice. En bloc resection or partial excision with mucosectomy is advised in some cases. We present our experience with 6 patients treated in our institution from February 2002 to October 2005.