[Intestinal duplication, a single experiencie center]

Area of Science:

• Pediatric Surgery
• Congenital Anomalies
• Gastrointestinal Disorders

Background:

• Intestinal duplications (DI) are rare congenital anomalies affecting approximately 1 in 10,000 newborns.
• These anomalies present a diagnostic and therapeutic challenge due to their varied clinical manifestations and locations.

Purpose of the Study:

• To analyze the clinical characteristics, management, and treatment outcomes of intestinal duplications at our center.
• To identify factors influencing clinical presentation and treatment strategies for DI.

Main Methods:

• A retrospective descriptive analysis of patients with histologically confirmed DI between 1993 and 2014.
• Data collected included age, sex, clinical presentation, localization, anatomical type, associated diseases, heterotopic tissue, treatment, and complications.

Main Results:

• Ten patients diagnosed with DI were identified; 60% were male, with a median age of 2.72 years.
• Common presentations included acute abdomen (30%), gastrointestinal bleeding (30%), and prenatal diagnosis (30%). The most frequent location was the jejuno-ileal region (60%).
• Heterotopic gastric tissue was found in 70% of cases. Surgical resection was necessary in 60%, with laparotomy being the primary approach (8 cases).

Conclusions:

• Preoperative diagnosis of DI remains uncommon, though prenatal detection rates are rising.
• Clinical manifestations are closely linked to the DI's location and the presence of heterotopic gastric mucosa.
• Laparoscopic surgery is emerging as the preferred treatment for uncomplicated intestinal duplications.