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Congenital duodenal obstruction in children: a decade's experience

A R Mustafawi1, M E Hassan

  • 1Department of Pediatric Surgery, Alwasl Hospital, Dubai, United Arab Emirates. dmia88@hotmail.com

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|April 26, 2008
PubMed

Insights

Congenital duodenal obstruction (CDO) repair outcomes are good, but associated anomalies like cardiac and respiratory issues increase complications. Down syndrome did not impact morbidity in this study.

Area of Science:

  • Pediatric Surgery
  • Neonatal Anomalies
  • Gastrointestinal Surgery

Background:

  • Congenital duodenal obstruction (CDO) is a frequent anomaly in newborns.
  • CDO is often associated with other congenital anomalies in 38-55% of cases.
  • This study retrospectively analyzed pediatric CDO cases over a decade.

Purpose of the Study:

  • To evaluate outcomes of congenital duodenal obstruction repair.
  • To identify factors influencing morbidity and mortality in CDO patients.
  • To analyze the impact of associated anomalies on CDO outcomes.

Main Methods:

  • Retrospective analysis of 77 children with CDO (Jan 1996-Dec 2005).
  • Patients categorized into duodenal atresia, annular pancreas, and duodenal web groups.
  • Follow-up ranged from 6 months to 5 years; data were statistically analyzed.

Main Results:

  • 77 patients included: 32 duodenal atresia, 30 annular pancreas, 15 duodenal web.
  • 67.5% of patients had associated anomalies (cardiac, Down syndrome, GIT, renal most common).
  • Pure duodenal obstruction seen in 32.4% of cases.

Conclusions:

  • Surgical repair of CDO generally yields favorable outcomes.
  • Associated cardiac, gastrointestinal, and respiratory anomalies are primary causes of postoperative morbidity.
  • Down syndrome and the obstruction itself were not linked to increased morbidity or mortality.
Abstract

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