Licona-Islas CM, Cornejo-Manzano A, Pérez-Lorenzana H, Zaldivar-Cervera JA, Mora-Fol JR

Language: Spanish
References: 17
Page: 126-131
PDF size: 326.12 Kb.

ABSTRACT

Introduction: Bowel continuity defects are a frequent cause of congenital bowel obstruction. Duodenal atresia occurs in approximately 1 per 5,000 live births. Currently, surgical treatment is to perform duodenoduodenostomía has been reported in recent years the laparoscopic approach with good results.
Material and Methods: Eight patients in the period March 2005 to March 2006 duodenoduodenostomía operated laparoscopically, six women and two men, mean age 20 months, three of them in the neonatal period, two had type I atresia , three with annular pancreas and two with an incomplete duodenal diaphragm.
Results: There were no intraoperative complications, the mean surgical time was 240 minutes, with an average time of fasting six days. There were two complications potstquirúrgicas a patient with anastomotic stricture that required reoperation for postoperative two months and one patient who died of sepsis.
Discussion: Laparoscopic duodenoduodenostomía seems to be a good alternative treatment for congenital duodenal obstruction.

REFERENCES

1. Ziegler MM, Azizkhan RG, Weber TR: Operative pediatric surgery. Ed. McGraw-Hill USA, 2003. pp 589-593.

2. O´Neill JA, Rowe MI. Pediatric surgery. Fifth Edition. St Louis Missouri USA: Mosby-Year Book, Inc. 1998.vol 2: pp. 1133-1143.

3. Ashcraft K, Murphy P. Cirugía pediátrica. Tercera edición. México: Editorial McGraw-Hill Interamericana Editores, 2002. pp 429-432

4. Escobar MA, Ladd AP, Grosfeld JL, et al: Duodenal atresia and stenosis: long-term follow-up over 30 years. J Pediatr Surg 2004;39(6):867-871.

5. Rothenberg SS: Laparoscopic duodenoduodenostomy for duodenal obstruction in infants and children. J Pediatr Surg 2002;37(7):1088-1089.

6. Kimura K, Mukohara N, Nishijima E, et al. Diamond shaped anastomosis for duodenal atresia: an experience with 44 patients over 15 years. J Pediatr Surg 1990;25:977-979.

7. McCollum MO, Jamieson DH, Webber EM: Annular pancreas and duodenal stenosis. J Pediatr Surg 2002;37(12):1776-1777.

8. Steyaert H, Valla JS, Van Hoorde E: Diaphragmatic duodenal atresia: Laparoscopic repair. Eur J Pediatr Surg 2003;13:414-416.

9. Ein SH, Kim PC, Miller HA: The late nonfunctioning duodenal atresia repair- a second look. J Pediatr Surg 2000; 35(5):690-691.

10. Zia-ul-Miraj M, Madden NP, Brereton RJ: Simple insicion: a safe and definitive procedure for congenital duodenal diaphragm. J Pediatr Surg 1999;34(6):1021-1024.

11. Uphadhyay V, Sakalkale R, Parashar K, el al: Duodenal atresia: a comparison of three odes of treatment. Eur J Pediatr Surg 1996;6:75-77.

12. Gavopoulos S, Limas C, Avizoglou, et al: Operative and postoperative management of congenital duodenal obstruction: a 10 year experience. Pediatr Surg Int 1993;8:122-124.

13. Coppens B, Vos A: Duodenal atresia. Pediatr Surg Int 1992;7:435-437.

14. Knechtle SJ, Filston HC: Anomalous biliary ducts associated with duodenal atresia. J Pediatr Surg 1990;25(12):1266-1269.

15. Spigland N, Yazbeck S: Complications associated with surgical treatment of congenital intrinsic duodenal obstruction. J Pediatr Surg 1990;25(11):1127-1130.

16. Weber TR, Lewis JE, Mooney D, et al: Duodenal atresia: a comparison of techniques of repair. J Pediatr Surg 1986;21:1133-1136.

17. Rossello PJ: Congenital duodenal atresia associated with a separate duodenal diaphragm. J Pediatr Surg 1978;13(4):441-442