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Duodenal web

MedGen UID:
473210
•Concept ID:
C0574019
•
Disease or Syndrome
Synonyms: Duodenal diaphragm; Duodenal Web
SNOMED CT: Duodenal diaphragm (297165008); Duodenal web (297165008)

Definition

Partial or complete obstruction of the duodenal lumen due to the presence of a membranous web. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDuodenal web

Professional guidelines

PubMed

Etiology, Diagnosis, and Modern Management of Chronic Pancreatitis: A Systematic Review.
Cohen SM, Kent TS
JAMA Surg 2023 Jun 1;158(6):652-661. doi: 10.1001/jamasurg.2023.0367. PMID: 37074693
Post-endoscopic retrograde cholangiopancreatography pancreatitis: A systematic review for prevention and treatment.
Pekgöz M
World J Gastroenterol 2019 Aug 7;25(29):4019-4042. doi: 10.3748/wjg.v25.i29.4019. PMID: 31413535Free PMC Article
Diagnosis and management of adult coeliac disease: guidelines from the British Society of Gastroenterology.
Ludvigsson JF, Bai JC, Biagi F, Card TR, Ciacci C, Ciclitira PJ, Green PH, Hadjivassiliou M, Holdoway A, van Heel DA, Kaukinen K, Leffler DA, Leonard JN, Lundin KE, McGough N, Davidson M, Murray JA, Swift GL, Walker MM, Zingone F, Sanders DS; BSG Coeliac Disease Guidelines Development Group; British Society of Gastroenterology
Gut 2014 Aug;63(8):1210-28. Epub 2014 Jun 10 doi: 10.1136/gutjnl-2013-306578. PMID: 24917550Free PMC Article

Recent clinical studies

Etiology

Development of a Modified Duodenum Traction Technique in Laparoscopic Duodenal Web Excision.
Li S, Jin Y, Zhao Y, Huang J
J Laparoendosc Adv Surg Tech A 2023 Sep;33(9):909-913. Epub 2023 May 30 doi: 10.1089/lap.2022.0605. PMID: 37256714
Delayed presentation of duodenal atresia.
Tiwari C, Borkar NB, Singh S, Mane S, Sinha C
Afr J Paediatr Surg 2023 Apr-Jun;20(2):97-101. doi: 10.4103/ajps.ajps_66_21. PMID: 36960502Free PMC Article
Innovative Endoscopic Management of a Duodenal Web Using Balloon Dilatation and a Gastrojejunal Tube in an Infant with Complex Esophageal Atresia.
Kueppers J, Muensterer O
J Laparoendosc Adv Surg Tech A 2022 Dec;32(12):1269-1271. Epub 2022 Nov 23 doi: 10.1089/lap.2022.0240. PMID: 36445752
Feeding problems and gastrointestinal diseases in Down syndrome.
Ravel A, Mircher C, Rebillat AS, Cieuta-Walti C, Megarbane A
Arch Pediatr 2020 Jan;27(1):53-60. Epub 2019 Nov 26 doi: 10.1016/j.arcped.2019.11.008. PMID: 31784293
Association Between Prenatal Sonographic Findings of Duodenal Obstruction and Adverse Outcomes.
Kim JY, You JY, Chang KH, Choi SJ, Oh SY, Seo JM, Roh CR, Kim JH
J Ultrasound Med 2016 Sep;35(9):1931-8. Epub 2016 Jul 27 doi: 10.7863/ultra.15.09074. PMID: 27466262

Diagnosis

Imaging Features of Neonatal Bowel Obstruction.
Gerrie SK, Navarro OM
Radiographics 2023 Aug;43(8):e230035. doi: 10.1148/rg.230035. PMID: 37471246
Delayed presentation of duodenal atresia.
Tiwari C, Borkar NB, Singh S, Mane S, Sinha C
Afr J Paediatr Surg 2023 Apr-Jun;20(2):97-101. doi: 10.4103/ajps.ajps_66_21. PMID: 36960502Free PMC Article
Small Bowel Congenital Anomalies: A Review and Update.
Morris G, Kennedy A Jr
Surg Clin North Am 2022 Oct;102(5):821-835. Epub 2022 Sep 13 doi: 10.1016/j.suc.2022.07.012. PMID: 36209748
Feeding problems and gastrointestinal diseases in Down syndrome.
Ravel A, Mircher C, Rebillat AS, Cieuta-Walti C, Megarbane A
Arch Pediatr 2020 Jan;27(1):53-60. Epub 2019 Nov 26 doi: 10.1016/j.arcped.2019.11.008. PMID: 31784293
Late-Presenting Duodenal Web.
Zimmer V, Bergheim C
Clin Gastroenterol Hepatol 2020 Jan;18(1):A35. Epub 2018 Sep 7 doi: 10.1016/j.cgh.2018.08.072. PMID: 30196159

Therapy

Duodenal Web in an Elderly Patient with Abdominal Discomfort and Vomiting: A Rare Case.
Alimadadi M, Ghanbari R, Yousefi M, Sadani S
Arch Iran Med 2023 Aug 1;26(8):455-458. doi: 10.34172/aim.2023.69. PMID: 38301108Free PMC Article
Saline-Aided Ultrasound Versus Upper Gastrointestinal Series in Neonates and Infants With Suspected Upper Gastrointestinal Obstruction: A Prospective Multicenter Comparative Study.
Chen S, Chen D, Zhong W, Jiang H, Li Y, Yang B, Chen H, Shan Q, Zhong Z, Zhou W, Wang H, Ma X, Liu J, Sun K, Xie X, Zhou L
AJR Am J Roentgenol 2022 Mar;218(3):526-533. Epub 2021 Oct 13 doi: 10.2214/AJR.21.26621. PMID: 34643106
Duodenal Atresia: Open versus MIS Repair-Analysis of Our Experience over the Last 12 Years.
Chiarenza SF, Bucci V, Conighi ML, Zolpi E, Costa L, Fasoli L, Bleve C
Biomed Res Int 2017;2017:4585360. Epub 2017 Feb 23 doi: 10.1155/2017/4585360. PMID: 28326320Free PMC Article
Nonsteroidal anti-inflammatory drug induced duodenal web.
Kannan S, McGreevy PS, Fullerton TE
S D J Med 1997 Nov;50(11):393-4. PMID: 9401436
Duodenal web presenting with gastrointestinal bleeding in a seven-month-old infant.
Nagpal R, Schnaufer L, Altschuler SM
J Pediatr Gastroenterol Nutr 1993 Jan;16(1):90-2. doi: 10.1097/00005176-199301000-00019. PMID: 8381865

Prognosis

Delayed presentation of duodenal atresia.
Tiwari C, Borkar NB, Singh S, Mane S, Sinha C
Afr J Paediatr Surg 2023 Apr-Jun;20(2):97-101. doi: 10.4103/ajps.ajps_66_21. PMID: 36960502Free PMC Article
Association Between Prenatal Sonographic Findings of Duodenal Obstruction and Adverse Outcomes.
Kim JY, You JY, Chang KH, Choi SJ, Oh SY, Seo JM, Roh CR, Kim JH
J Ultrasound Med 2016 Sep;35(9):1931-8. Epub 2016 Jul 27 doi: 10.7863/ultra.15.09074. PMID: 27466262
Small Bowel Congenital Anomalies: a Review and Update.
Morris G, Kennedy A Jr, Cochran W
Curr Gastroenterol Rep 2016 Apr;18(4):16. doi: 10.1007/s11894-016-0490-4. PMID: 26951229
Congenital duodenal obstruction in neonates: a decade's experience from one center.
Chen QJ, Gao ZG, Tou JF, Qian YZ, Li MJ, Xiong QX, Shu Q
World J Pediatr 2014 Aug;10(3):238-44. Epub 2014 Aug 15 doi: 10.1007/s12519-014-0499-4. PMID: 25124975
Duodenal web in an adult presenting with acute pancreatitis and acquired megaduodenum: report of a case.
Lytras D, Olde-Damink SW, Imber CJ, Hatfield A, Amin Z, Malagó M
Surg Today 2011 Mar;41(3):426-9. Epub 2011 Mar 2 doi: 10.1007/s00595-009-4261-9. PMID: 21365431

Clinical prediction guides

Congenital duodenal web causing partial obstruction with recurrent vomiting and abdominal distention in a toddler boy: a case report.
Ekram K, Razawi F, Jalal SN, Sultani MN, Wali AW, Sediqi MS, Hamdard AG, Hemat M, Sahibzada MM
J Med Case Rep 2023 Nov 24;17(1):507. doi: 10.1186/s13256-023-04179-3. PMID: 37996900Free PMC Article
Delayed presentation of duodenal atresia.
Tiwari C, Borkar NB, Singh S, Mane S, Sinha C
Afr J Paediatr Surg 2023 Apr-Jun;20(2):97-101. doi: 10.4103/ajps.ajps_66_21. PMID: 36960502Free PMC Article
Association Between Prenatal Sonographic Findings of Duodenal Obstruction and Adverse Outcomes.
Kim JY, You JY, Chang KH, Choi SJ, Oh SY, Seo JM, Roh CR, Kim JH
J Ultrasound Med 2016 Sep;35(9):1931-8. Epub 2016 Jul 27 doi: 10.7863/ultra.15.09074. PMID: 27466262
Congenital duodenal obstruction in neonates: a decade's experience from one center.
Chen QJ, Gao ZG, Tou JF, Qian YZ, Li MJ, Xiong QX, Shu Q
World J Pediatr 2014 Aug;10(3):238-44. Epub 2014 Aug 15 doi: 10.1007/s12519-014-0499-4. PMID: 25124975
Preduodenal portal vein in association with midgut malrotation and duodenal web-triple anomaly?
Singal AK, Ramu C, Paul S, Matthai J
J Pediatr Surg 2009 Feb;44(2):e5-7. doi: 10.1016/j.jpedsurg.2008.10.075. PMID: 19231521

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