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Vitelline duct pathologies in neonates.
Suleyman Celebi1, Seyithan Ozaydin1, Esra Polat2
1Department of Pediatric Surgery, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.
Northern Clinics of Istanbul
|January 29, 2019
Summary
Vitelline duct pathology (VDP) in newborns shows a male predominance, especially in symptomatic cases. Symptomatic VDP is linked to ectopic gastric tissue, while incidentally found cases require close monitoring for future complications.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Gastrointestinal Pathology
Background:
- Vitelline duct pathology (VDP) encompasses various congenital anomalies arising from the incomplete obliteration of the vitelline duct.
- These conditions can present in neonates with diverse clinical manifestations, necessitating careful management strategies.
Purpose of the Study:
- To review the management and outcomes of pediatric vitelline duct pathology (VDP) cases diagnosed surgically or incidentally in the neonatal period.
- To analyze clinical features, treatment approaches, and long-term follow-up of these patients.
Main Methods:
- Retrospective analysis of neonatal VDP cases (1985-2015) at a single institution.
- Data included age, sex, clinical presentation, surgical treatment, pathological findings (including ectopic tissue), and postoperative outcomes.
Main Results:
- 36 newborns (26 male, 10 female) were studied; 16 underwent surgical repair, with a higher male predominance (7:1) and 43% showing ectopic gastric mucosa.
- 12 males and 8 females had incidentally discovered VDP; 50% were removed, with 10% showing ectopic gastric mucosa.
- Ectopic gastric tissue was more prevalent in surgically repaired VDP cases than incidentally detected ones (p<0.05).
Conclusions:
- Symptomatic VDP in newborns exhibits a significant gender disparity and a higher association with ectopic gastric tissue.
- Neonatal VDP cases detected incidentally without surgical removal require vigilant follow-up due to the risk of delayed complications like intussusception or bleeding.
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