[Congenital duodenal obstruction: comparison of two corrective methods]

Area of Science:

• Pediatric Surgery
• Gastrointestinal Surgery
• Neonatal Care

Background:

• Congenital duodenal obstruction is a rare condition with limited research.
• Functional obstruction due to poor duodenal peristalsis is common postoperatively.
• Optimal surgical techniques for congenital duodenal obstruction remain debated.

Purpose of the Study:

• To compare the efficacy and outcomes of two surgical techniques for congenital duodenal obstruction.
• Evaluate the Kimura operation versus Heinecke-Mikulicz enteroplasty in neonates.

Main Methods:

• Retrospective review of neonates undergoing surgery for duodenal obstruction over five years.
• Comparison of Kimura operation and Heinecke-Mikulicz duodenoplasty groups.
• Analysis of clinical characteristics, operative time, feeding onset, hospital stay, complications, and mortality.

Main Results:

• Forty-one neonates were included; 27 had the Kimura operation, 14 had Heinecke-Mikulicz duodenoplasty.
• Common diagnoses included duodenal atresia (86%) and annular pancreas (14%).
• No significant differences in operative time, feeding onset, or hospital stay; similar rates of septicemia and mortality between groups.

Conclusions:

• Both Kimura duodenal-duodenal anastomosis and Heinecke-Mikulicz duodenoplasty are effective for congenital duodenal obstruction.
• The study suggests comparable safety and efficacy between the two surgical methods.