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Duodenal Duplication Cysts in Children: Clinical Features and Current Treatment Choices

Valeria Dipasquale1, Paolo Barraco1, Simona Faraci2

  • 1Pediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood G. Barresi, University Hospital of Messina, Messina, Italy.

Biomedicine Hub
|September 5, 2020
PubMed

Insights

Duodenal duplication cysts in children are rare but can cause serious issues like pancreatitis. Early diagnosis and treatment are key to successful outcomes and improved quality of life.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Malformations

Background:

  • Duodenal duplication cysts are uncommon congenital malformations of the gastrointestinal tract.
  • Symptoms typically manifest within the first decade of life, necessitating timely intervention.
  • This review focuses on the clinical aspects, management, and outcomes of these cysts in pediatric patients.

Purpose of the Study:

  • To review the clinical presentation, management strategies, and outcomes of duodenal duplication cysts in children.
  • To provide insights into the diagnostic challenges and therapeutic approaches for pediatric duodenal duplication cysts.
  • To emphasize the importance of early recognition for successful treatment and improved patient quality of life.

Main Methods:

  • A comprehensive literature search was conducted using PubMed/Medline for articles published since 1999.
  • Keywords included "duodenal duplication cyst," "child," and "newborn."
  • Data on clinical symptoms, complications, diagnostics, treatments, and outcomes were extracted and analyzed.

Main Results:

  • Analysis of 45 cases from 41 citations revealed a presentation age range from newborn to 18 years.
  • Abdominal pain was the most common symptom (67%), with 43% of cases experiencing pancreatitis.
  • The median diagnostic and treatment interval was 17 months, highlighting potential delays.

Conclusions:

  • Duodenal duplication cysts can lead to severe complications and recurrent symptoms, significantly impacting a child's quality of life.
  • Early identification of suggestive signs and symptoms is crucial for effective treatment.
  • This review aims to enhance diagnostic accuracy and reduce the risk of delayed diagnosis for duodenal duplication cysts in children.
Abstract

Keywords:
Duodenal duplication cystEndoscopyImagingPediatricsSurgery

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