Management of alimentary tract duplication in children

Author:

Stringer M D1,Spitz L1,Abel R1,Kiely E1,Drake D P1,Agrawal M1,Stark Y1,Brereton R J1

Affiliation:

1. Departments of Paediatric and Cardiothoracic Surgery, The Hospital for Sick Children, Great Ormond Street, London, UK

Abstract

Abstract Duplication of the alimentary tract is rare but potentially dangerous. Five of 72 children with alimentary tract duplication treated between 1973 and 1992 died from postoperative complications; a further ten required more than one operation. Heal duplications were the commonest, occurring in 16 patients (22 per cent). Thoracoabdominal duplications were the most complicated and responsible for much of the overall morbidity and mortality. Surgical complications were related to the size and location of the duplication, communication with the gastrointestinal tract or vertebral canal, presence of heterotopic gastric mucosa and involvement of mesenteric vessels. Complete excision of the duplication should be possible in most cases.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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