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Congenital duodenal obstruction (CDO) is a common surgical disease in newborns accounting for up to 50% of all intestinal atresia cases. Duodenal atresia is a form of CDO that occurs due to failure of the solid core of the duodenum to recanalize during fetal development. Patients with duodenal atresia require complex surgical reconstruction. In 199...
Contexts in source publication
Context 1
... is used to define the "double bubble sign." These are two fluid levels, one in the distended stomach, and the other one in the duodenum (Figure 1). Polyhydramnios develops in pregnancies complicated by duodenal obstruction. ...
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... forms of duodenal obstruction are repaired using a longitudinal duodenotomy over the site of obstruction with incision of the proximal and distal portions of the duodenum (Figures 8 and 9). Then, the membrane is captured with a delicate atraumatic clamp and excised circularly with coagulation micro-scissors (Figures 10 and 11). Particular care is necessary for dissecting the duodenum at the ampulla of Vater [69]. ...
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... care is necessary for dissecting the duodenum at the ampulla of Vater [69]. The final step of the operation is transverse suturing of the duodenal lumen with interrupted absorbable sutures (Figures 12 and 13). ...
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... patients with duodenal atresia type II and type III, a diamond-shaped Kimura anastomosis is performed (Figure 14). The technique of laparoscopic diamondshaped anastomosis does not differ from the open procedure (Figure 15) [39,70]. ...
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... patients with duodenal atresia type II and type III, a diamond-shaped Kimura anastomosis is performed (Figure 14). The technique of laparoscopic diamondshaped anastomosis does not differ from the open procedure (Figure 15) [39,70]. A transverse duodenotomy of the dilated proximal part of the duodenum and a longitudinal incision of the distal collapsed segment are performed using a needle or hookshaped electrode (Figures 16 and 17). ...
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... technique of laparoscopic diamondshaped anastomosis does not differ from the open procedure (Figure 15) [39,70]. A transverse duodenotomy of the dilated proximal part of the duodenum and a longitudinal incision of the distal collapsed segment are performed using a needle or hookshaped electrode (Figures 16 and 17). A transparietal traction suture is placed on the proximal portion of the duodenum, which is brought to the anterior abdominal wall to allow for fixation of the bowel to allow for duodenal anastomosis creation. ...
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... technique of laparoscopic Kimura anastomosis involves placement of separate sutures (PDSII 6/0), on the posterior (Figure 18) and then the anterior wall of the duodenal junction (Figure 19). To achieve the diamond shape, the first suture is placed between the right point of the transverse duodenotomy and the middle of the right part of the longitudinal duodenotomy. ...
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... technique of laparoscopic Kimura anastomosis involves placement of separate sutures (PDSII 6/0), on the posterior (Figure 18) and then the anterior wall of the duodenal junction (Figure 19). To achieve the diamond shape, the first suture is placed between the right point of the transverse duodenotomy and the middle of the right part of the longitudinal duodenotomy. ...
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... same thread can be used to perform a continuous suture on the anterior wall of the anastomosis. In cases of an annular pancreas, the anastomosis is created in the form of a "bridge" over the area of ectopic glandular tissue-duodenal "bypass" (Figures 20 and 21). It is important to make sure that this is exactly the horizontal part of the duodenum, not the loop of the jejunum because this can lead to the creation of a blind loop. ...
