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Gastrointestinal Duplication Presenting as Neonatal Intestinal Obstruction: An Experience of 15 Years at Tertiary

Kamal Nain Rattan1, Shruti Bansal2, Aastha Dhamija2

  • 1Department of Pediatric Surgery, Pt. B.D. Sharma PGIMS Rohtak, Haryana.

Journal of Neonatal Surgery
|January 14, 2017
PubMed

Insights

Gastrointestinal tract duplications are rare congenital anomalies in neonates, often causing intestinal obstruction. Early diagnosis and surgical management are crucial for successful outcomes in these infants.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Gastrointestinal Disorders

Background:

  • Gastrointestinal tract (GIT) duplications are rare congenital anomalies, most commonly found in the small intestine.
  • These duplications can manifest as abdominal masses or intestinal obstruction, necessitating surgical intervention, or remain asymptomatic.
  • This study reports a 15-year experience with duplication cysts in neonates.

Purpose of the Study:

  • To analyze the clinical presentation and management of gastrointestinal tract duplications in neonates.
  • To evaluate surgical outcomes for neonates with these congenital anomalies.
  • To highlight the importance of early diagnosis and intervention.

Main Methods:

  • A retrospective study was conducted between 2001 and 2015 in a pediatric surgery department.
  • Data from neonates diagnosed with GIT duplications were analyzed, including antenatal diagnosis, age, sex, clinical presentation, investigations, surgical management, and outcomes.
  • Focus was on neonates with gastrointestinal duplications.

Main Results:

  • Seventeen neonates were diagnosed with GIT duplications over 15 years, with a male-to-female ratio of 3.3:1.
  • The ileum was the most frequent site (71%), followed by duodenum, stomach, colon, and cecum.
  • Most neonates presented with sub-acute intestinal obstruction, successfully managed by resection and anastomosis; 4 cases had associated gut atresia, and 1 had gut perforation.

Conclusions:

  • Gastrointestinal tract duplications in neonates typically present with symptoms of obstruction.
  • Prompt diagnosis and surgical management are essential to minimize postoperative complications and mortality.
  • Effective surgical strategies lead to successful outcomes in neonates with these anomalies.
Abstract

Keywords:
Duplication cystGastrointestinalIntestinal obstructionNeonate

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