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Alimentary tract duplications in children

R J Bower, W K Sieber, W B Kiesewetter

    Annals of Surgery
    |November 1, 1978
    PubMed

    Insights

    Alimentary tract duplications are rare congenital anomalies. Early diagnosis and surgical intervention in children significantly improve outcomes, despite associated risks.

    Area of Science:

    • Pediatric Surgery
    • Congenital Anomalies
    • Gastroenterology

    Background:

    • Alimentary tract duplications are rare congenital malformations.
    • They can present with varied symptoms depending on location and size.
    • Ectopic mucosa, particularly gastric, is a common finding.

    Purpose of the Study:

    • To review the clinical experience with alimentary tract duplications.
    • To analyze diagnostic patterns and surgical outcomes.
    • To identify factors influencing patient prognosis.

    Main Methods:

    • Retrospective review of 78 cases of alimentary tract duplications.
    • Analysis of patient demographics, clinical presentation, diagnostic methods, and surgical outcomes.
    • Correlation of vertebral anomalies with duplication presence.

    Main Results:

    • 78 duplications in 64 patients over 40 years.
    • 15% had multiple duplications; 15% had vertebral anomalies.
    • Diagnosis before one year of age occurred in two-thirds of patients.
    • Common surgical indications included masses, obstruction, and bleeding.
    • Favorable surgical outcomes with 20% mortality; deaths due to complications or anomalies.

    Conclusions:

    • Alimentary tract duplications require prompt diagnosis and management.
    • Surgical intervention is associated with favorable outcomes.
    • Associated anomalies and surgical complications impact mortality.

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