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PubMed2004

[Percutaneous gastrostomy as an urgent method of treatment of a neonate with esophageal and duodenal atresia].

The objective of this article was to present possibilities of percutaneous gastrostomy for management of a newborn with esophageal and duodenal atresia. Percutaneous gastrostomy is the most commonly employed technique for providing long-term enteral nutrition. In adults, it is also method of choice for decompression of digestive tract in palliative treatment of malignant and non malignant diseases. This is a case report of two-day old newborn with esophageal atresia with distal tracheoesophageal fistula and duodenal atresia. Percutaneous decompressive gastrostomy was used as a temporary bridge to definite surgery for management of respiratory dysfunction of this newborn, caused by dilated stomach. Surgical management (esophageal and duodenal reconstructions) as well as intra- and postoperative period were without any complications. Three months after surgical management, the infant is well and without any difficulties.

Duodenal Obstruction↗
PubMed1994

Second trimester prenatal findings in duodenal and esophageal atresia without tracheoesophageal fistula.

The combination of duodenal atresia and esophageal atresia without tracheoesophageal fistula leads to a closed loop of bowel involving the distal esophagus, stomach, and duodenum. Prenatally, this association of anomalies is visualized as a characteristic dilated C-shaped fluid collection in the fetal abdomen. We report three cases of the association of duodenal and esophageal atresia without tracheoesophageal fistula, identified sonographically in the second trimester of pregnancy.

Adult↗
PubMed1996

Duodenal atresia: a comparison of three modes of treatment.

To determine the most successful mode of treatment, 33 consecutive cases of duodenal atresia treated by duodenoduodenostomy and not associated with other gastro-intestinal anomalies were analysed retrospectively. These patients have been placed in a nonrandomised fashion into one of three groups: Group A: Duodenostomy (side to side) with gastrostomy and transanastomotic feeding tube (n = 12); Group B: Duodenoduodenostomy (diamond shape) with jejunostomy feeding tube (n = 12); Group C: Duodenoduodenostomy (diamond shape) only (n = 9). A nasogastric tube was used in all cases. There was no difference between the groups for gestational age, birthweight, and age at operation. The outcome measures used to compare these groups were the time taken to achieve full preanastomotic feeds and the duration of hospital stay. There was no difference in time taken to achieve full pre-anastomotic feeds between Group A and Group B. Patients in Group C took significantly less time to achieve full pre-anastomotic feeds than either of the other two groups (p < 0.05, Mann-Whitney U). The duration of hospital stay was also significantly shorter for patients in Group C (median = 12 days) than for patients in either Group A or B (median = 24, 20 days respectively) (p < 0.05, Mann-Whitney U).

Case-Control Studies↗
PubMed1970

Duodenal atresia.

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Duodenum↗
PubMedDate not supplied

Subfertility and atresias of the alimentary tract.

In a descriptive study on alimentary tract atresias (ATA), a protective effect at parity 2 compared to parity 1 led us to expect an increased rate of fertility problems in mothers of these infants. To test the hypothesis we looked at sex hormones exposures around conception in 811 cases collected between 1982 and 1993 by the France Central-East registry of malformations. Exposure to progestins was compared for combined ATA (at two or more different levels) vs. single ATA with an odds ratio of 2.51 (95% CI 0.43-9.96). Although not statistically significant, this odds ratio raises the question of an association that would be interesting to test elsewhere. Combined ATA also occurred after stimulation of ovulation more often than did isolated forms of ATA: OR = 3.52 (95% CI 0.98-10.31). Stimulation of ovulation was more often reported for infants with ATA than for those with other malformations: OR = 1.87 (95% CI: 1.24-2.81). These indications in favor of an increased risk of ATA for infants born to subfertile mothers/couples should encourage other groups to test the hypothesis on available data sets.

Anal Canal↗
PubMed1953

Duodenal atresia.

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Duodenal Obstruction↗
PubMed1999

Choanal and ileal atresia: a new syndrome or association?

Choanal atresia is a relatively common congenital malformation which is often associated with other anomalies. On the other hand, ileal atresia is very rare, mostly nonsyndromic and occasionally associated with other anomalies. The association of choanal and ileal atresia is unknown. Here we report the first instance of bilateral choanal atresia and ileal atresia in a full term male infant and describe the subsequent surgical treatment of both conditions. The association is unique and may represent a syndrome.

Abnormalities, Multiple↗
PubMed2000

Biliary atresia splenic malformation syndrome--is it a result of embryonically midline rotational defects? A case report.

The authors present a case of biliary atresia splenic malformation (BASM) syndrome in a 34-week gestational age boy who died shortly after birth. Autopsy results showed polysplenia, short pancreas, extrahepatic biliary atresia, heterotaxy of liver, tracheoesophageal and duodenal atresia, right lung hypoplasia, cardiac defects with tetralogy of Fallot, axial skeletal defects, and minor genitourinary disorders. Additional histopathologic findings were congenital hepatic fibrosis and bronchopulmonary dysplasia. The authors consider that the abnormalities of this case are possibly a unique combination. Midline defects, which are the most notable features of the presented case, may be closely related to pathogenesis of BASM syndrome.

Abnormalities, Multiple↗
PubMed1957

[Duodenal atresia].

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Duodenal Obstruction↗