Clinical profile and predictors of outcome in congenital duodenal obstruction

Author:

Chandrasekaran Sankkarabarathi,Asokaraju Anirudhan

Abstract

Background: Congenital duodenal obstruction is a broad term that refers to a variety of disorders like duodenal atresia, duodenal stenosis, annular pancreas, duodenal membrane and preduodenal portal vein. The aim of this study was to analyse in detail the entire clinical profile of duodenal obstruction and to study the short-term outcome.Methods: A prospective descriptive study was conducted in the Department of Paediatric Surgery, Institute of child Health and Hospital for Children, Egmore, Chennai, among all babies with suspected duodenal obstruction based on clinical symptoms and subsequently proven by surgery from September 2013 to January 2015. Fifty babies were selected for this study based on the eligibity criteria.Results: Upper gastrointestinal contrast radiography is the gold standard investigation in diagnosing duodenal membrane with a hole. The type of surgery such as the duodenoplasty, duodenoduodenostomy or duodenojejunal anastomosis did not affect the post-op outcome.Conclusions: Long term follow up is warranted to know the actual incidence of requirement for redo procedure for feed intolerance. The presence of coexisting Down’s syndrome and congenital cardiac lesions increases the mortality rate in these children.

Publisher

Medip Academy

Subject

General Energy

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Coagulation Parameters as a Prognostic Factor for Mortality in a Neonate with Duodenal Obstruction;Archives of Pediatric Gastroenterology, Hepatology, and Nutrition;2024-05-31

2. Prognostic factors for mortality in patients with congenital duodenal obstruction at DR. Moewardi Hospital Surakarta;Precision Medical Sciences;2021-02-23

3. ACR Appropriateness Criteria® Vomiting in Infants;Journal of the American College of Radiology;2020-11

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