Congenital duodenal obstruction in neonates: a decade’s experience from one center

Chen, Qingjiang; Gao, Zhigang; Tou, Jinfa; Qian, Yun-zhong; Li, Min-Ju; Xiong, Qi; Shu, Qiang

doi:10.1007/s12519-014-0499-4

Cited by 68 publications

(62 citation statements)

References 24 publications

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“…She has got 2.030 g in this period. In this report, a term neonate had a good birth weight and presented high intestinal obstruction symptoms since he was born, while literature states 20% of premature and delayed presentation [6]. Literature states malrotation in 31% -60%…”

Section: Case Reportmentioning

confidence: 73%

“…Other study states that complication is significantly small in the prenatal diagnosis group of CDO when compared with the group without prenatal diagnosis, but it didn't affect mortality or morbidity in both of them [12]. Meanwhile, some authors state that "timely diagnosis and aggressive surgery are key" to improve prognosis [6].…”

Section: Case Reportmentioning

confidence: 99%

“…PDPV is described as a rare condition that happens in the neonatal period that leads to CDO causing persistent vomiting, impairment of the oral feeding and weight loss [6]. On the other hand, other publications state a generally asymptomatic disease and may lead to intestinal obstruction as well, requiring late surgical correction [7] [8] [9].…”

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confidence: 99%

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Preduodenal Portal Vein (PDPV): A Very Rare Cause of Duodenum Obstruction

Dinamarco¹,

Gonzaga²,

França³

et al. 2017

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Congenital duodenal obstruction (CDO) is one of the most common anomalies presented in the neonatal period of intestinal obstruction, with an incidence of 1:10,000, and Preduodenal Portal Vein (PDPV) is a rare extrinsic cause of CDO. PDPV leads to CDO with a persistent vomiting, impairment of the oral feeding and weight loss, but other publications state an asymptomatic disease that may requires late surgical correction. Prenatal diagnosis of CDO, including PDPV, is evidenced by association of polyhydramnios with a dilated fluid-filled gastric and duodenum and a double-bobble image in the ultrasonography and permits a proper management of associated malformation, delivery, surgery and allows family counseling. PDPV is commonly associated to other intestinal obstruction such as extrinsic (annular pancreas, adhesive bands, malrotation, peritoneal bands, intestinal duplication), and intrinsic (atresia, web and stenosis), and also associated with cardiovascular anomalies, situs inversus, Down's syndrome and polysplenia. This is full term 5 days old newborn, 2865 g girl, without prenatal diagnosis of CDO. It was not still established PDPV until surgery procedure such as Duodenoduodenostomy (Diamond-Shape) and can guide Paediatric Surgeons that face high intestinal obstruction in the neonate with or without prenatal diagnosis. In the ambulatory follow up after 4 months, baby has developed very well, in breast-feeding associated with formula-feeding with a normal weight gain (average of 550 g/month).

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Section: Case Reportmentioning

confidence: 73%

Section: Case Reportmentioning

confidence: 99%

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Preduodenal Portal Vein (PDPV): A Very Rare Cause of Duodenum Obstruction

Dinamarco¹,

Gonzaga²,

França³

et al. 2017

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“…In intestinal atresias, transanastomotic or a feeding jejunostomy beyond the anastomosis, parenteral nutrition and gastrostomy have all been used with variable success. [1] Complications of the nasojejunal tubes such as duodenal and jejunal perforations, changes in bowel flora, abdominal distension, vomiting and diarrhoea have been reported in the past. [2] None of the above complications were encountered in our patients.…”

Section: Dear Sirmentioning

confidence: 99%

Use of Simultaneous Nasogastric and Nasojejunal Tubes for Proximal Intestinal Atresias - A Preliminary Report

Mahajan¹,

Yhoshu

2017

J Neonat Surg

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“…On ultrasound, there is usually reversal of the position of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV). When volvulus is present, transverse sonographic images show dilated fluidfilled duodenum with alternating rings of low and high echogenicity at the base of the mesentery ("concentric circle sign") [11] . Color Doppler ultrasound can reveal a spiral appearance of the mesenteric vessels, termed Figure 1 Normal small bowel.…”

Section: Congenital Abnormalitiesmentioning

confidence: 99%

Abdominal ultrasonography of the pediatric gastrointestinal tract

Gale¹,

Gee²,

Westra³

et al. 2016

WJR

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Ultrasound is an invaluable imaging modality in the evaluation of pediatric gastrointestinal pathology; it can provide real-time evaluation of the bowel without the need for sedation or intravenous contrast. Recent improvements in ultrasound technique can be utilized to improve detection of bowel pathology in children: Higher resolution probes, color Doppler, harmonic and panoramic imaging are excellent tools in this setting. Graded compression and cine clips provide dynamic information and oral and intravenous contrast agents aid in detection of bowel wall pathology. Ultrasound of the bowel in children is typically a targeted exam; common indications include evaluation for appendicitis, pyloric stenosis and intussusception. Bowel abnormalities that are detected prenatally can be evaluated after birth with ultrasound. Likewise, acquired conditions such as bowel hematoma, bowel infections and hernias can be detected with ultrasound. Rare bowel neoplasms, vascular disorders and foreign bodies may first be detected with sonography, as well. At some centers, comprehensive exams of the gastrointestinal tract are performed on children with inflammatory bowel disease and celiac disease to evaluate for disease activity or to confirm the diagnosis. The goal of this article is to review up-to-date imaging techniques, normal sonographic anatomy, and characteristic sonographic features of common and uncommon disorders affecting the gastrointestinal tract in children.

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Congenital duodenal obstruction in neonates: a decade’s experience from one center

Cited by 68 publications

References 24 publications

Preduodenal Portal Vein (PDPV): A Very Rare Cause of Duodenum Obstruction

Preduodenal Portal Vein (PDPV): A Very Rare Cause of Duodenum Obstruction

Use of Simultaneous Nasogastric and Nasojejunal Tubes for Proximal Intestinal Atresias - A Preliminary Report

Abdominal ultrasonography of the pediatric gastrointestinal tract

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