title: Pyloric exclusion for treatment of complicated duodenal atresia.
abstract: Duodenal atresia (DA) is a well-described congenital anomaly that usually responds well to surgical correction. Associated defects are common, and these confounding variables often influence outcome. The authors present a case of a newborn female with an unusual constellation of problems including DA with annular pancreas, trisomy 21, and coarctation of the aorta. She developed protracted complications postoperatively and was treated with an innovative surgical strategy.
authors.affiliation: Division of Pediatric Surgery, Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.
authors.forename: Vikram
authors.initials: V
authors.lastname: Balakumar
authors.forename: Anthony L
authors.initials: AL
authors.lastname: DeRoss
authors.forename: Peter C
authors.initials: PC
authors.lastname: Kouretas
authors.forename: Scott C
authors.initials: SC
authors.lastname: Boulanger
authors.forename: Edward M
authors.initials: EM
authors.lastname: Barksdale
mesh_terms: D000015:Abnormalities, Multiple; D057868:Anastomotic Leak / Q000209:etiology / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications / Q000628:therapy; D004314:Down Syndrome / Q000150:complications; D004380:Duodenal Obstruction / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004385:Duodenostomy / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005774:Gastrostomy; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia; D007582:Jejunostomy; D010179:Pancreas / Q000002:abnormalities; D010182:Pancreatic Diseases / Q000150:complications; D011708:Pylorus / Q000601:surgery*; D012086:Reoperation; D017792:Surgical Stapling; D016896:Treatment Outcome; D014945:Wound Healing