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Duplications of the alimentary tract in infants and children
1Division of Pediatric Surgery, Children's Hospital Los Angeles, CA 90027, USA.
Insights
Alimentary tract duplications are rare congenital anomalies. Surgical resection is the primary treatment, with most patients experiencing successful outcomes.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Gastrointestinal Disorders
Background:
- Alimentary tract duplications are rare congenital anomalies.
- These anomalies present diagnostic and therapeutic challenges.
- They can occur anywhere along the gastrointestinal tract.
Purpose of the Study:
- To review the clinical presentation, management, and outcomes of alimentary tract duplications.
- To analyze the challenges associated with diagnosing and treating these rare conditions.
Main Methods:
- Retrospective review of 27 patients treated for alimentary tract duplications.
- Analysis of patient demographics, symptoms, diagnostic methods, surgical procedures, and outcomes.
- Focus on duplications in the stomach, jejunum, ileum, cecum, colon, and rectum.
Main Results:
- Most common symptoms included nausea, vomiting, and palpable abdominal mass.
- Majority of duplications were in the jejunum and ileum.
- Surgical resection was the primary treatment, with one case of mucosal stripping.
- Rectal duplications were treated via a sacroperineal incision.
- One patient with gastric duplication died due to an associated cardiac lesion.
Conclusions:
- Surgical management of alimentary tract duplications is effective.
- Early diagnosis and appropriate surgical intervention are crucial for favorable outcomes.
- Associated anomalies, particularly cardiac lesions, can impact prognosis.
Abstract:
Duplications of the alimentary tract are rare congenital anomalies that could present a diagnostic as well as therapeutic challenge. Twenty-seven patients with duplications of the alimentary tract were treated at Childrens Hospital Los Angeles between 1961 and 1992. Ages ranged from a few days to 5 years (67% younger than 1 year). The most common symptoms were nausea and vomiting, and the most common sign was a palpable abdominal mass. Three patients presented with gastric duplication, which was excised. The majority of the duplications were in the jejunum and ileum. All patients except one had primary resection of the duplication. One patient with a 45-cm tubular jejunal duplication was treated with mucosal stripping of the duplication. Five patients had cecal duplication, three patients presented with melena because of ectopic gastric tissue in the duplication, and two presented with intestinal obstruction. One of the latter patients presented with intussusception with cecal duplication as the leading point. Three patients with colonic duplication presented with abdominal pain and vomiting leading to excision of the duplication. Of the five patients with rectal duplication, three presented with chronic constipation. The other two patients presented elsewhere with perianal swelling, which eventually was drained because of a mistaken diagnosis of perianal abscess. Subsequently, these two patients came to us with persistent perineal fistula. In all our patients, rectal duplications were removed through a sacroperineal incision. The only patient in this series who died was a 6-week-old boy with gastric duplication; his death was attributed to an associated severe cardiac lesion.(ABSTRACT TRUNCATED AT 250 WORDS)