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Zapytanie: KERAMIDAS
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Tytuł oryginału: Double duodenal obstruction: annular pancreas combined with distal congenital stenosis.
Autorzy: Papandreou E., Soutis M., Baltogiannis N., Christopoulos-Geroulanos G., Keramidas D.
Źródło: Surg. Childh. Int. 2002: 10 (2) s.88-90, il., tab., bibliogr. 16 poz.
Sygnatura GBL: 313,040

Hasła klasyfikacyjne GBL:
  • gastroenterologia
  • chirurgia

    Typ dokumentu:
  • tytuł obcojęzyczny
  • praca kazuistyczna

    Wskaźnik treści:
  • ludzie
  • noworodki
  • płeć żeńska

    Streszczenie angielskie: Congenital duodenal obstruction (CD0) in combination with more distal duodenal obstructions is extremely rare. The latter may be missed if not looked for conscientiously during the operation. This is a report of our experience with two newborn babies, who presented with atresia combined with annulat pancreas and a second distal duodenal obstruction. Material and methods: During the last 15 years (1986-1999) 53 children were opertaed upon for CDO, of whom two had a double duodenal obstruction. They presented with non-bilious vomiting and the plain film of the abdomen showed the typical "double -bouble". Operative findings: a) annular pancreas causing complete pobstruction of the second part of the duodenum, b) distension or dilatation of the duodenum distal to this obstruction due to an additional congenital stenosis. A diamond shaped duodeno-duodenal anastomisis was carried out to relieve the proximal obstruction and a Heinecke-Milulicz plasty was used to relieve the distal stenosis. Results: The postoperative course was uneventful and feedings could be started on the 20th postoperative day. An upper gastrointestinal series on the 30th day showed free passage of the contrast material.

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