[Surgical management of sequelae from duodenal stenosis and atresia in the neonate (author's transl)].
Surgical sequelae from duodenal atresia treated by gastrojejunostomy or duodenojejunostomy are rarely encountered. They usually appear in the late course of gastrojejunostomies. They are related at the duodenal distension above the stenoses which constitute a poorly drained "blind-loop" usually developed from a side to side anastomosis as observed in the small bowel. The following complications, related to the duodenal pouch have been reported in the literature: peptic ulcer, duodenitis or gastritis, abdominal pain, dumping syndrom and malnutrition. One patient developed a gangrenous calculous cholecystitis at 10 years of age. 3 patients under went revision of their previous surgery because of sequelae. One had duodenal atresia above the ampulla, one had an anular pancreas: in one the duodenal atresia was at the ligament of Treitz. All patients had a revision according to our technic described in Annales de Chirurgie Infantile, consisting in: --calibration of the duodenal pouch --end to end or end to side duodeno-duodenal anastomonsis --suppression of previous anastomosis. A good result was obtained in all 3 cases.
D001765:Blind Loop Syndrome / Q000209:etiology; D003251:Constriction, Pathologic / Q000151:congenital / Q000601:surgery; D004380:Duodenal Obstruction / Q000151:congenital / Q000601:surgery*; D004382:Duodenitis / Q000209:etiology; D004386:Duodenum / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D005756:Gastritis / Q000209:etiology; D005774:Gastrostomy; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery*; D007583:Jejunum / Q000601:surgery; D008297:Male; D008722:Methods; D010437:Peptic Ulcer / Q000209:etiology; D011183:Postoperative Complications / Q000601:surgery*
La remise en circuit du duodénum. Traitement des séquelles des atrésies et sténoses duodénales du nouveauné.