Congenital duodenal obstruction - Advances in diagnosis, surgical management, and associated controversies

Kelli N Patterson; Stephanie Cruz; Benedict C Nwomeh; Karen A Diefenbach

doi:10.1016/j.sempedsurg.2022.151140

Congenital duodenal obstruction - Advances in diagnosis, surgical management, and associated controversies

Semin Pediatr Surg. 2022 Feb;31(1):151140. doi: 10.1016/j.sempedsurg.2022.151140. Epub 2022 Feb 18.

Authors

Kelli N Patterson¹, Stephanie Cruz², Benedict C Nwomeh², Karen A Diefenbach³

Affiliations

¹ Center for Surgical Outcomes Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205.
² Division of Pediatric Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205.
³ Division of Pediatric Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205. Electronic address: Karen.Diefenbach@nationwidechildrens.org.

PMID: 35305801
DOI: 10.1016/j.sempedsurg.2022.151140

Abstract

Congenital duodenal obstruction (CDO) occurs due to intrinsic and extrinsic mechanisms but is most often caused by intrinsic duodenal atresia and stenosis. This review will summarize the history, epidemiology, and etiologies associated with the most common causes of CDO. The clinical presentation, complex diagnostic considerations, and current surgical repair options for duodenal atresia and stenosis will also be discussed. Finally, both historical and recent controversies which continue to affect the surgical decision-making in the management of these patients will be highlighted.

Publication types

Review

MeSH terms

Duodenal Obstruction* / diagnosis
Duodenal Obstruction* / etiology
Duodenal Obstruction* / surgery
Humans
Intestinal Atresia* / diagnosis
Intestinal Atresia* / surgery