Gastric duplication in infants

Authors

  • O. V. Spakhi Zaporizhzhia State Medical University, Ukraine,
  • O. V. Liaturynska Zaporizhzhia State Medical University, Ukraine,
  • M. O. Makarova Zaporizhzhia State Medical University, Ukraine,
  • I. O. Anikin Zaporizhzhia State Medical University, Ukraine,
  • A. H. Zaporozhchenko Zaporizhzhia City Children’s General Hospital No 5, Ukraine.,

DOI:

https://doi.org/10.14739/2310-1210.2018.3.130516

Keywords:

congenital abnormalities, newborns, stomach, duodenum

Abstract

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.

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How to Cite

1.
Spakhi OV, Liaturynska OV, Makarova MO, Anikin IO, Zaporozhchenko AH. Gastric duplication in infants. Zaporozhye Medical Journal [Internet]. 2018May30 [cited 2024Nov.23];(3). Available from: http://zmj.zsmu.edu.ua/article/view/130516

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Section

Case Reports