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[Upper digestive duplications in adults]

V Frering1, E Velecela, P Fouque

  • 1Fédération des Spécialités Digestives, Hôpital Edouard-Herriot, Lyon.

Annales De Chirurgie
|January 1, 1995
PubMed
Summary
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Adults rarely present with congenital gastrointestinal duplications. Resection is recommended due to potential malignant transformation, with preoperative diagnosis guiding surgical approach.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Medical Diagnostics

Background:

  • Congenital gastrointestinal duplications are rare in adults, typically presenting as cystic or tubular malformations.
  • These duplications feature a smooth muscle wall continuous with the intestinal wall and an inner mucosal lining.

Observation:

  • Five adult patients underwent surgery for gastrointestinal tract duplications (esophageal, gastric, duodenal) between 1988 and 1994.
  • Three duplications were symptomatic, while two were incidental findings.
  • Diagnosis was achieved via ultrasonography (3 patients) and computed tomography (1 patient).

Findings:

  • One patient developed adenocarcinoma within an esophageal duplication, leading to mortality one year post-resection.
  • The study highlights the risk of malignant transformation in these congenital anomalies.

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Implications:

  • Surgical resection of gastrointestinal duplications is crucial due to their malignant potential.
  • Accurate preoperative diagnosis is essential for planning conservative resection, except in cases of malignancy requiring curative resection.