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Small bowel duplication cyst in the pediatric population-when to operate?
Yael Dreznik1,2, Anastasia Almog3,4, Maya Paran3,4
1Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center of Israel, 14 Kaplan St, Petah Tiqwa, Israel. yael.dreznik@gmail.com.
Pediatric Surgery International
|January 3, 2025
Summary
For pediatric small bowel duplications, expectant management of asymptomatic cysts is safe. Surgery after one year of age allows for laparoscopic exploration and good outcomes.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Congenital Abnormalities
Background:
- Small bowel duplications are rare congenital anomalies.
- Optimal surgical timing for pediatric small bowel duplications remains a subject of investigation.
Purpose of the Study:
- To determine the optimal timing for surgical intervention in pediatric patients diagnosed with small bowel duplications.
Main Methods:
- A retrospective cohort study was conducted on pediatric patients (<18 years) diagnosed with small bowel duplications between 2013 and 2024.
- Data collected included demographics, duplication characteristics, pathology, and clinical outcomes.
Main Results:
- Sixteen patients underwent laparoscopic-assisted resection of small bowel duplications.
- Patients with prenatal diagnosis (n=11) underwent elective surgery at a median age of 1.3 years and had smaller duplications.
- Urgent surgery was required for six patients due to complications, most lacking prenatal evaluation.
Conclusions:
- Asymptomatic, small small bowel duplication cysts in pediatric patients can be managed expectantly.
- Surgery after the first year of age is safe and facilitates laparoscopic exploration in older infants.
- This approach leads to satisfactory clinical outcomes and recovery.
