Tapering duodenoplasty: a beneficial adjunct in the treatment of congenital duodenal obstruction.
J Int Med Res 2019;
48:300060519862109. [PMID:
31353994 PMCID:
PMC7140208 DOI:
10.1177/0300060519862109]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objective
Congenital duodenal obstruction is typically treated by
duodenoduodenostomy. Tapering of the dilated segment has been
indicated to reduce duodenal dysmotility. The purpose of this
study was to review the outcomes between these two
approaches.
Methods
We retrospectively reviewed cases of duodenal obstruction repair
performed at a quaternary care referral pediatric hospital from
2007 to 2017. The length of stay, time to full enteral feeding,
and complications were compared between patients who underwent
duodenoduodenostomy with and without tapering duodenoplasty (n=4
and n=35, respectively).
Results
Both groups had similar times to initial enteral feeding (7 days)
and full enteral feeding (14 vs. 15 days). Among the 35 patients
who underwent duodenoduodenostomy alone, 6 (17%) required a
return to the operating room; in contrast, no patients who
underwent tapering required a return to the operating room. Of
those who returned to the operating room, two underwent tapering
at that time because of duodenal dilation and feeding
intolerance.
Conclusions
Although limited by the small sample size, this study suggests that
patients undergoing tapering duodenoplasty may have a slightly
shorter time to full enteral feeding and a lower rate of
complications than patients undergoing duodenoduodenostomy
alone.
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