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[Intestinal duplication, a single experiencie center].

M A Cárdenas Elias1, F Vázaquez Rueda1, J E Betancourth-Alvarenga1

  • 1UGC de Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|February 1, 2017
PubMed
Summary
This summary is machine-generated.

Intestinal duplications are rare congenital anomalies. Diagnosis is increasing prenatally, and clinical signs depend on location and heterotopic gastric mucosa. Laparoscopy is preferred for uncomplicated cases.

Keywords:
Cystic duplicationEnteric duplicationIntestinal duplicationPrenatal diagnosis

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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.