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Updated: Jun 26, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Duodenal atresia and stenosis]
B Rousková1, J Trachta, L Kavalcová
1Klinika detské chirurgie 2. LF UK a FNM a IPVZ, Praha. b.rouskova@post.cz
Casopis Lekaru Ceskych
|January 31, 2009
Summary
Surgical treatment for congenital duodenal obstruction yields excellent outcomes, with over 90% of patients surviving without long-term issues. Sepsis and associated malformations remain the primary causes of mortality in infants.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Neonatal Care
Context:
- Congenital duodenal obstruction is a serious condition requiring timely surgical intervention.
- This study analyzes surgical outcomes at a single institution over a 15-year period.
- Understanding the spectrum of obstructions and their management is crucial for improving patient care.
Purpose:
- To evaluate the efficacy and outcomes of surgical interventions for congenital duodenal obstruction.
- To identify common types of duodenal obstruction, surgical procedures, and associated complications.
- To assess the short-term and long-term prognosis following surgical correction.
Summary:
- A retrospective analysis of 77 patients with duodenal atresia, membrane, or annular pancreas treated surgically between 1991 and 2006.
- Duodenoduodenoanastomosis and membrane excision were common procedures; sepsis was the most frequent complication.
- The overall mortality rate was 9.1%, with sepsis and associated malformations being the main contributors to death.
Impact:
- Demonstrates a high survival rate (90-95%) and good prognosis with appropriate surgical management.
- Highlights the importance of addressing associated malformations and managing sepsis to reduce mortality.
- Provides valuable data for optimizing surgical strategies and improving outcomes in neonates with duodenal obstruction.
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