title: Congenital intrinsic duodenal obstruction: a twenty-five year review.
abstract: From 1951 through 1975, 72 patients with congenital intrinsic duodenal obstruction were seen at the Childrens Hospital of Los Angeles. The survival rate was 55% during the first 15 years of the study, but this has increased to 88% during the last 10 years. Factors important to this increased survival rate include: earlier diagnosis and expeditious preoperative workup; expert administration of anesthesia; improved surgical technique with a greater awareness for common pitfalls, such as associated duodenal diaphragm or distal bowel atresia; frequent use of gastrostomy; use of parenteral nutrition; and better intensive nursing care.
mesh_terms: D001724:Birth Weight; D002140:California; D002648:Child; D004378:Duodenal Diseases / Q000151:congenital* / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D007409:Intestinal Atresia / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D007415:Intestinal Obstruction / Q000151:congenital* / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D008722:Methods; D011183:Postoperative Complications