Gastric duplication in infants
DOI:
https://doi.org/10.14739/2310-1210.2018.3.130516Keywords:
congenital abnormalities, newborns, stomach, duodenumAbstract
Clinicians pay close attention to the questions related to the diagnosis and treatment tactics of stomach defects with its obstruction in view of their stable frequency and lack of consensus on these diseases development mechanisms. The insufficient individual experience of every clinician leads to the difficulties in early diagnostic and the most adequate surgical intervention choice, and so, high rates of mortality.
Purpose of the work. Improvement of the diagnostic and treatment tactic in infants with gastric duplication.
Materials and methods. Clinical experience of two cases of the newborn children treatment with rare variants of digestive tract developmental defects is presented. In one child it was a case of stomach cystic duplication; and the other had a cystic duplication of stomach and duodenum.
Results. There have been 5 cases of the stomach duplication treatment in the last 5 years in the Pediatric Surgery Clinic of Zaporizhzhia State Medical University. Two children were diagnosed with this pathology in neonatal period. Clinical analysis of these cases is described in the article. Both infants have undergone the early operative intervention. Type and extent of the operation depended on the peculiarities of localization, sizes, clinical signs of the defects and the general state of patients. The main stages and methods of medical-diagnostic process of such patients’ management are presented.
Conclusions. The analysis shows that the efficacy of stomach obstruction rare forms diagnosis is achieved by usage of algorithms based on the staged modern diagnostic methods, taking into account their resolution and congenital anomaly type. In congenital stomach and duodenum duplication maximal informativness can be achieved using ultrasound and CT (or MRI) of the abdominal cavity. The most effective and non-invasive is ultrasound method by high-resolution devices. The discussed clinical cases are examples of early diagnosis of the stomach duplication and the right choice of active tactics for such children management that has made it possible to obtain a successful treatment outcome.
References
Ashkraft, K. U., & Kholder, T. M. (1997). Detskaya khirurgiya [Pediatric surgery]. (Vol. 2), (P. 100–104). Saint Petersburg. [in Russian].
Bajrov, G. A. (1968). Khirurgicheskie poroki razvitiya u detej [Surgical defects of development in children]. Leningrad. [in Russian].
Zhurilo, I. P., Fomenko, S. A., Litovka, V. K., Perunskij, V. P., Lepikhov, P. A., Gun'kin, A. Yu. (2001). Redkie varianty udvoeniya pishchevaritel'nogo tracta u detej [Rare variants of the digestive tract doubling in children]. Vestnik neotlozhnoj i vosstanovitel'noj mediciny, 2, 177–182 [in Russian].
Grigovich, I. N. (1985). Redkie khirurgicheskie zabolevaniya pishchevaritel'nogo tracta [Rare surgical diseases of the digestive tract]. Leningrad [in Russian].
Ishimov, Sh. S. (2012). O modifikacii operacii pri kistoznom udvoenii dvenadcatiperstnoj kishki [On the modification of the operation for the treatment of doudenal duplication cyst]. Detskaya khirurgiia, 6, 56. [in Russian].
Nechaev, V. N., Cherenkov, Yu. V. (2007) Diagnostika, profilaktika i terapiya vrozhdennykh anomalij razvitiya [Diagnostics, prevention and therapy of congenital anomalies of development]. Sovremennye tekhnologii v pediatrii i detskoj khirurgii. Proceedings of the 6th Russian Congress. (P. 132–133). Moscow. [in Russian].
Sermyagin,V., Yurchuk, V., & Lushina, N. (2007) Sdvigi sistemy gomeostaza u novorozhdennykh s vrozhdennymi porokami razvitiya zheludochno-kishechnogo trakta [Shifts of the homeostasis system in newborns with congenital malformations of the gastrointestinal tract]. Sovremennye tekhnologii v pediatrii i detskoj khirurgii. Proceedings of the 6th Russian Congress. (P. 301–302). Moscow. [in Russian].
Spakhi, O. V. (2008). Diahnostyka ta khirurhichne likuvannia vrodzhenoi neprokhidnosti shlunku u ditei (Avtoref. dis… dokt. med. nauk) [Diagnosis and surgical treatment of congenital obstruction of the stomach in children. Dr. med. sci. diss.]. Kyiv. [in Ukrainian].
You, H., Park, S., Kim, J., Lee H., Jang, S., Kim, G., & Song, G. (2012). A Case of Duodenal Duplication Cyst Manifested by Duodenal Polyp. Clin Endosc, 45(4), 425–7. doi: 10.5946/ce.2012.45.4.425.
Wolters, V. M., Nikkels, P. G., Van Der Zee, D. C., Kramer, P. P., De Schryver, J. E., Reijnen, I. G., & Houwen, R. H. (2001). A gastric diverticulum containing pancreatic tissue and presenting a scongenital double pylorus: case report and review of the literature. J. Pediatr. Gastroenterol. Nutr. 33(1), 89–91. doi: 10.1097/00005176-200107000-00017.
Le Stradic, C., Aroulandom, J., Kotobi, H., Pariente, D., Gaboran, C., Lemale, J., et al. (2016). Duodenal duplication revealed by acute pancreatitis. Arch Pediatr, 23(10), 1063–1066. doi: 10.1016/j.arcped.2016.06.015.
Daher, Р., Karam, L., & Riachy, Е. (2008). Prenatal diagnosis of an intrathoracic gastric duplication: a case report. J. Pediatr. Surg, 43(7), 1401–1404. doi: 10.1016/j.jpedsurg.2008.03.046.
Jiang, W., Zhang, B., Fu, Y., Wang, J., Gao, S., Zhang, S., & Wu, Y. L. (2011). Gastric duplication cyst lined by pseudostratified columnar ciliated epithelium: a case report and Literature review. J Zhejiang Univ SciB, 12, 28–31. doi: 10.1631/jzus.B1000130.
Okamoto, Т., Takamizawa, S., Yokoi, A., Satoh, Sh., & Nishijima, E. (2008). Completely isolated alimentary tract duplication in neonate. Pediatr. Surg, 24(10), 1145–1147. doi: 10.1007/s00383-008-2220-y.
Singh, T., Rajdeo, H., Bhuta, K., & Savino, J. A. (2013). Gastric Duplication Cyst: Two Case Reports and Review of the Literature. Case Rep Surg., 2013, 605059. doi: 10.1155/2013/605059.
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)