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Clinical Characteristics of Gastric Duplication in Children

Fei Liu1, Xiaogang Xu1, Menglong Lan1

  • 1Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.

Frontiers in Pediatrics
|April 14, 2022
PubMed

Insights

Gastric duplication (GD) in children often presents with non-specific symptoms, requiring surgical diagnosis. Laparoscopic surgery offers effective treatment for GD, leading to good patient outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Diagnostics

Background:

  • Gastric duplication (GD) is a rare congenital anomaly.
  • Clinical presentation of GD in children can be nonspecific, complicating early diagnosis.
  • This study investigates the characteristics and management of pediatric GD.

Purpose of the Study:

  • To elucidate the clinical characteristics of gastric duplication in pediatric patients.
  • To evaluate the efficacy of surgical interventions for gastric duplication.
  • To improve diagnostic and treatment strategies for this condition.

Main Methods:

  • Retrospective analysis of 17 pediatric patients with GD treated between July 2015 and June 2021.
  • Literature review of GD in children from 2011-2021 using PubMed, EMBASE, and Cochrane Library.
  • Surgical resection (primarily laparoscopic) followed by pathological confirmation.

Main Results:

  • GD was more prevalent in females; cystic type common on the greater curvature.
  • Vomiting was the most frequent clinical symptom.
  • Ultrasound showed potential for early GD screening; laparoscopic cystectomy yielded good outcomes with short recovery times.

Conclusions:

  • Gastric duplication in children often lacks specific symptoms, necessitating surgical exploration for diagnosis.
  • Laparoscopic cystectomy is an effective treatment for pediatric gastric duplication.
  • Early diagnosis and timely surgical intervention are crucial for favorable outcomes.
Abstract

Keywords:
childrencongenitalforegutgastric duplicationlaparoscopic

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