Title: Laparoscopic duodenoduodenostomy for duodenal obstruction in infants and children
Abstract: <h2>Abstract</h2> <b>Background/Purpose:</b> Duodenal obstruction, such as that resulting from atresia or web, routinely has been corrected by laparotomy and duodenoduodenostomy. Until recently, no one has reported on the use of minimally invasive techniques to correct this congenital anomaly. Over the last 6 months we have approached 4 patients, 3 with atresia and one with a web, laparoscopically. Three were newborns, and one was 8 months old. <b>Methods:</b> All procedures were performed with 3-mm instruments and scopes. <b>Results:</b> Operating time in all cases was less then 90 minutes. Visualization was excellent, and there were no intraoperative complications. Feedings were started on postoperative day 5 in all 3 neonates and day 3 in the infant. All 4 were on full feedings after 3 days. Follow-up upper gastrointestinal tests show no evidence of stricture or obstruction. <b>Conclusion:</b> Laparoscopy provides an excellent way to evaluate and treat congenital duodenal obstruction. <i>J Pediatr Surg 37:1088-1089. Copyright 2002, Elsevier Science (USA). All rights reserved.</i>
Publication Year: 2002
Publication Date: 2002-07-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
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Cited By Count: 126
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