A case series of symptomatic intraluminal duodenal duplication cysts: presentation, endoscopic therapy, and long-term outcome (with video)

Evolution of Surgical Resection for Duodenal Duplication Cyst

“…In the same study, 12 of the 46 patients were treated with endoscopic marsupialization, and the remaining patient underwent medical treatment. In a case series by Antaki et al, 1 8 patients with intraluminal duodenal duplication cysts had endoscopic incision and marsupialization of the cysts, with no major complications. We recognize that endoscopy is a feasible alternative to surgical resection, but it is at times limited in its ability to visualize the entire cyst and its relationship to surrounding pertinent structures, such as the ampulla.…”

“…Endoscopy, compared to surgical resection, at times can result in incomplete ablation of the cyst mucosa, which has the possibility of developing malignant degeneration. 1,13 Over the past 3 decades, minimally invasive surgery has matured to the point where qualified surgeons can perform most general surgical procedures laparoscopically. 14 Initially, laparoscopy was used as a diagnostic procedure, but now it is the gold standard for several general surgery operations, such as cholecystectomy and distal pancreatectomy for pancreatic adenocarcinoma, because of enhanced recovery for patients, which is achieved by use of smaller incisions, decreased blood loss, and a decrease in the unavoidable stress response and postoperative ileus that follows a bowel operation.…”

“…In the general population, the collective estimated prevalence of these cysts ranges from 1:4,500 to 1:10,000 with most cases occurring in children. 1 Duodenal duplication cysts represent less than 5% of all GI duplications. Whereas some patients may present clinically with a palpable mass, abdominal pain, and bleeding, most patients are asymptomatic, and the cysts are discovered incidentally during diagnostic workup.…”

A rare case of duodenal duplication treated surgically

“…As the diameter of the communication was not efficient for adequate drainage of the cyst, the common wall between the cyst and the duodenum was excised and the corners were sutured to form a large cystoduodenostomy. This procedure is known as intraduodenally performed internal derivation, and it forms the basis of the endoscopic treatment of duodenal duplication [16] .…”

Akut pankreatit ile başvuran bir duodenal duplikasyon kisti olgusu

“…On y›ll›k sürede, ‹ngilizce literatürdeki DDK olgular›n›n topland›¤› bir meta analizde, olgular›n %53'ünün pankreatit gelifltirdi¤i saptanm›flt›r (2). Pankreatit gelifliminde sekresyon, çamur veya tafl ile dolu olan distandü DDK'n›n pankreas kanal›na yapm›fl oldu¤u bas› sorumlu tutulmaktad›r (1,3). DDK'n›n tan›s›nda USG, BT, MR ve endoskopi yard›m-c› olmakla birlikte, özellikle koledokosel (tip 3 koledok kisti) ile ay›r›c› tan›s› zor olmaktad›r (2).…”