Version 1
: Received: 16 November 2023 / Approved: 17 November 2023 / Online: 17 November 2023 (15:33:02 CET)
How to cite:
Alqadi, G.O.; Balanescu, L. Operative Management of Digestive Duplications in Children. Preprints2023, 2023111142. https://doi.org/10.20944/preprints202311.1142.v1
Alqadi, G.O.; Balanescu, L. Operative Management of Digestive Duplications in Children. Preprints 2023, 2023111142. https://doi.org/10.20944/preprints202311.1142.v1
Alqadi, G.O.; Balanescu, L. Operative Management of Digestive Duplications in Children. Preprints2023, 2023111142. https://doi.org/10.20944/preprints202311.1142.v1
APA Style
Alqadi, G.O., & Balanescu, L. (2023). Operative Management of Digestive Duplications in Children. Preprints. https://doi.org/10.20944/preprints202311.1142.v1
Chicago/Turabian Style
Alqadi, G.O. and Laura Balanescu. 2023 "Operative Management of Digestive Duplications in Children" Preprints. https://doi.org/10.20944/preprints202311.1142.v1
Abstract
The study aimed to review the management of pediatric digestive duplications (DD) with regards to clinical presentation, operative procedures and complications in a single institution in Bucharest, Romania. A retrospective analysis was performed using patient records from ‘Grigore Alexandrescu’ Emergency Children’s Hospital from 2013 to 2023. All patients with a postoperative diagnosis of DD were selected. A total of 39 children (19 boys, 20 girls) with DD have been treated in our hospital in the past 10 years. Only N=5 of them have been diagnosed antenatally. In N=22 cases patients were referred to our hospital for tumors, while N=17 cases involved an acute setting. Comorbidities were encountered in N=16 patients. Duplications involved several parts of the digestive tract: ileal (N=19), colonic (N=10), esophageal (N=2), jejunal (N=2), gastric (N=2), duodenal (N=1), ileocecal (N=1), esogastric (N=1) and rectal (N=1). Two of the duplications were intraluminal, while the rest were cystic. There were N=28 open interventions and N=11 laparoscopies. Conversion was needed in N=2 cases due to (a) overdistended bowel and (b) dense adhesions between the ileum and the tumor. The tumor was resected in N=17 cases, while intestinal resection was required in N=22 cases. A drain was used in N=21 patients. The average hospital stay for open procedures was 10 days and for laparoscopic procedures 8 days. Complications arose in N=7 patients who had an open procedure and N=1 patient who had a laparoscopic procedure. There were no mortalities. With a low rate of antenatal diagnosis (12.82%), 43.58% of DD appeared in an acute setting. Open procedures were favored in acute cases and patients with comorbidities, but required a longer hospital stay. Laparoscopic management had a 18.18% conversion rate and a low rate of complications (9.09%).
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
