title: Modified pyloric exclusion for infants with complex duodenal injuries.
abstract: Duodenal injuries among infants are exceedingly rare. The use of pyloric exclusion in the treatment of infants is previously unreported. We report three cases of duodenal injury in infants who were surgically managed through duodenal diversion via pyloric exclusion with concomitant tube gastrostomy. A subsequent discussion of pyloric exclusion highlights the therapeutic rationale, surgical technique, and previous experience with this procedure in children.
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, University of Texas Medical School, MSB 5.246, 6431 Fannin, Houston, TX, USA.
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Harting
authors.forename: Debra
authors.initials: D
authors.lastname: Doherty
authors.forename: Kevin P
authors.initials: KP
authors.lastname: Lally
authors.forename: William M
authors.initials: WM
authors.lastname: Andrews
authors.forename: Charles S
authors.initials: CS
authors.lastname: Cox
mesh_terms: D004386:Duodenum / Q000293:injuries* / Q000601:surgery*; D004750:Enteral Nutrition / Q000379:methods; D005774:Gastrostomy; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D007582:Jejunostomy; D008297:Male; D011708:Pylorus / Q000601:surgery*