Duodenal obstruction

Yechiel Sweed

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

5 Scopus citations

Abstract

Congenital duodenal obstruction (DO) is a frequent cause of congenital intestinal obstruction in the newborn, occurring in 1 per 5,000-10,000 live births, and affecting boys more commonly than girls. DO is the result of either intrinsic or extrinsic lesions. Figure 39.1 shows the various types of DO. Intrinsic DO may be caused by duodenal atresia, stenosis, diaphragm, perforated diaphragm, or a wind-sock web. The wind-sock web is a duodenal membrane that balloons distally as a result of peristalsis from above. Extrinsic DO may be caused by annular pancreas, mal-rotation, or preduodenal portal vein. Although the annular pancreas forms a constricting ring around the second part of the duodenum, it is not believed to be the cause of DO and there is usually an associated atresia or stenosis in patients with an annular pancreas (Fig. 39.2).

Original languageEnglish
Title of host publicationPediatric Surgery
Subtitle of host publicationDiagnosis and Management
PublisherSpringer Berlin Heidelberg
Pages383-391
Number of pages9
ISBN (Print)9783540695592
DOIs
StatePublished - 2009
Externally publishedYes

Funding

FundersFunder number
National Institute of Allergy and Infectious DiseasesR01AI118575

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