Diaphragmatic duodenal atresia: laparoscopic repair

Stenosis due to a diaphragm is a type of intrinsic duodenal obstruction in newborns and even in childhood, when obstruction is partial. We present a case of a 13-month-old girl with diaphragmatic stenosis associated with a dilated first and second duodenum. Surgical management consisted of a partial...

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Bibliographic Details
Published inEuropean journal of pediatric surgery Vol. 13; no. 6; p. 414
Main Authors Steyaert, H, Valla, J S, Van Hoorde, E
Format Journal Article
LanguageEnglish
Published United States 01.12.2003
Subjects
Constriction, Pathologic
Diaphragm - pathology
Dilatation, Pathologic
Duodenal Diseases - etiology
Duodenal Diseases - surgery
Duodenum - pathology
Female
Humans
Infant
Intestinal Atresia - etiology
Intestinal Atresia - surgery
Laparoscopy
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Summary:Stenosis due to a diaphragm is a type of intrinsic duodenal obstruction in newborns and even in childhood, when obstruction is partial. We present a case of a 13-month-old girl with diaphragmatic stenosis associated with a dilated first and second duodenum. Surgical management consisted of a partial excision of the diaphragm after vertical incision of the anterior part of the second duodenum followed by a transverse suture. This diamond-shaped anastomosis was successfully carried out laparoscopically. No tapering of the duodenum was performed as some authors suggest in cases of megaduodenum. The rapid resumption of peristalsis and fewer adherences than expected after such a minimally invasive approach could make a more invasive procedure unnecessary. Only long-term follow-up and greater experience will show which procedure is most suitable.
ISSN:0939-7248
DOI:10.1055/s-2003-44734