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Published on: February 28, 2025
[Laparoscopic operations for chronic duodenal obstruction in children]
A Ju Razumovskij1, A F Dronov1, A N Smirnov1
1Chair of Pediatric Surgery, Faculty of Pediatrics, N.I. Pirogov Russian National Research Medical University, N.F. Filatov City Children's Hospital #13, Moscow.
Insights
Laparoscopic treatment effectively resolved chronic duodenal obstruction in five children. This approach enabled early enteral nutrition, reducing intensive care and hospital stays for pediatric patients.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Context:
- Chronic duodenal obstruction is a significant pediatric surgical condition.
- Mechanical causes include duodenal stenosis and arteriomesenteric compression.
Purpose:
- To present the treatment experience of pediatric chronic duodenal obstruction.
- To evaluate the efficacy of laparoscopic surgery in these cases.
Summary:
- Five children with mechanical chronic duodenal obstruction underwent laparoscopic treatment.
- Two cases involved duodenal stenosis, and three were due to arteriomesenteric compression.
- All patients were successfully treated with laparoscopy.
Impact:
- Laparoscopic surgery facilitated early initiation of enteral nutrition.
- Reduced intensive care unit and overall hospital stay durations.
- Demonstrates laparoscopy as an effective minimally invasive approach for pediatric duodenal obstruction.
Abstract:
Brief literature review devoted to chronic duodenal obstruction is presented in the article. We described an experience of treatment of 5 children with mechanical form of chronic duodenal obstruction. Duodenal stenosis was observed in 2 patients. Arteriomesenteric compression caused chronic duodenal obstruction in other children. Duodenal obstruction was cured using laparoscopy in all cases. Thus enteroalimentation has been started in early terms and intensive care unit stay and hospital stay was reduced.
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