Diagnosis and treatment of foregut duplications

Azzie, Georges; Beasley, Spencer W.

doi:10.1016/s1055-8586(03)70006-7

Cited by 77 publications

(22 citation statements)

References 64 publications

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“…Screening for an intraabdominal component may be important once an intrathoracic FD cyst is identified; one review mentions a 30% incidence of concurrent intraabdominal duplication cyst, but it is not clear how many of these were completely separate duplications vs thoracoabdominal duplications in continuity [2]. Thoracoabdominal duplications are rare and difficult to manage [2,13]. These cysts are predominantly located in the thorax with a transdiaphragmatic extension where the cyst may communicate with the alimentary tract.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, imaging is important using CT scan and/or MRI, and contrast studies. Most lesions require excision through separate thoracic and abdominal approaches [2,13]. A staged approach is necessary in cases of infected cysts, where one needs to drain the cyst primarily, treat the infection, and then return for a definitive surgery [2,13].…”

Section: Discussionmentioning

confidence: 99%

“…Thoracoscopy is advantageous for isolated intrathoracic FDs. D 2005 Elsevier Inc. All rights reserved.Foregut duplication cysts represent a spectrum of malformations that include isolated bronchogenic cysts, esophageal duplications, and complex mixed associations with congenital cystic adenomatoid malformations, or broncho pulmonary seques trations [1][2][3]. The classical histological featu res of foregu t duplica tion (FD) cysts consist of a well-d evelop ed coat of smoo th musc le, an ep ithelial lin ing representative of the foregut (gastroin testinal or br onchopulmonary), and m ost f requently an intimate attachmen t to some portion of the foregu t [2].…”

mentioning

confidence: 99%

“…The classical histological featu res of foregu t duplica tion (FD) cysts consist of a well-d evelop ed coat of smoo th musc le, an ep ithelial lin ing representative of the foregut (gastroin testinal or br onchopulmonary), and m ost f requently an intimate attachmen t to some portion of the foregu t [2]. Althoug h FD cysts are uncom mon, thora coscopy has an evolvi ng role in thei r treatmen t [4][5][6][7][8][9] .…”

mentioning

confidence: 99%

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Foregut duplications: is there an advantage to thoracoscopic resection?

Bratu

Laberge

Flageole

et al. 2005

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Foregut duplications: is there an advantage to thoracoscopic resection?

Bratu

Laberge

Flageole

et al. 2005

Journal of Pediatric Surgery

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“…Hasta en 2 % de los casos, las duplicaciones pueden ser de extensión toraco-abdominal. Generalmente, el tratamiento es quirúrgico 16,17 . Duplicaciones gástricas.…”

Section: Clasificaciónunclassified

Duplicaciones de las vías digestivas

et al. 2018

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ResumenLas duplicaciones de las vías digestivas son anomalías congénitas infrecuentes, que se pueden localizar en cualquier parte del tubo digestivo, y son más comunes en los hombres. Hasta en un tercio de los pacientes, se acompañan de otras anomalías congénitas. Se han postulado tres teorías para explicar la causa de las duplicaciones: la de la recanalización de la luz intestinal, la del accidente vascular intrauterino y la de la unión o "hermanamiento" incompleta. Se clasifican en duplicaciones quísticas, cuando se comunican con la luz intestinal normal, y en duplicaciones tubulares, cuando no lo hacen; según algunas series, las primeras corresponden de 70 a 75 % de los casos informados y, las segundas, del 25 al 30 %. Poseen tres características esenciales, que son: estar unidas a cualquier segmento del tubo digestivo y con una irrigación sanguínea común; tener una capa muscular, y poseer un revestimiento epitelial que, generalmente, corresponde a la mucosa del mismo trayecto. Los síntomas más comunes son dolor abdominal inespecífico, náuseas, vómitos, hemorragia gastrointestinal, invaginación, obstrucción, ictericia y pancreatitis. El diagnóstico se basa, especialmente, en estudios imagenológi-cos, desde la radiografía simple hasta la resonancia magnética, siendo de gran importancia la ecografía prenatal. El tratamiento quirúrgico es la principal opción terapéutica, en la cual se usa cada vez más la vía laparoscópica. Palabras clave: tracto gastrointestinal; duodeno; intestino delgado; quiste congénito; diagnóstico. AbstractAlimentary tract duplications are rare congenital lesions that can occur anywhere in the gastrointestinal tract. Three hypotheses about their etiology had been proposed, The luminal recanalization theory, the intrauterine vascular accident theory, and the abortive twinning theory. According to some series, three quarters of gastrointestinal duplications are cystic with no communication to the adjacent alimentary tract, while the remaining are tubular and may communicate with the intestinal lumen.

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