Small Bowel Congenital Anomalies: a Review and Update

被引:56
作者
Morris G. [1 ]
Kennedy A., Jr. [2 ]
Cochran W. [3 ]
机构
[1] Department of Pediatrics, Geisinger Clinic, 100 N. Academy Avenue, Danville, 17822, PA
[2] Department of Pediatric Surgery, Geisinger Clinic, 100 N. Academy Avenue, Danville, 17822, PA
[3] Department of Pediatric Gastroenterology, Geisinger Clinic, 100 N. Academy Avenue, Danville, 17822, PA
关键词
Congenital anomalies; Duodenal atresia; Duodenal web; Intestinal atresia; Jejunoileal atresia; Malrotation; Meckel’s diverticulum; Small bowel; Small bowel duplications; Small intestine;
D O I
10.1007/s11894-016-0490-4
中图分类号
学科分类号
摘要
The small intestine is a complex organ system that is vital to the life of the individual. There are a number of congenital anomalies that occur and present most commonly in infancy; however, some may not present until adulthood. Most congenital anomalies of the small intestine will present with obstructive symptoms while some may present with vomiting, abdominal pain, and/or gastrointestinal bleeding. Various radiologic procedures can aid in the diagnosis of these lesions that vary depending on the particular anomaly. Definitive therapy for these congenial anomalies is surgical, and in some cases, surgery needs to be performed urgently. The overall prognosis of congenital anomalies of the small intestine is very good and has improved with improved medical management and the advent of newer surgical modalities. The congenital anomalies of the small intestine reviewed in this article include malrotation, Meckel’s diverticulum, duodenal web, duodenal atresia, jejunoileal atresia, and duplications. © 2016, Springer Science+Business Media New York.
引用
收藏
相关论文
共 110 条
[61]  
Kay S., Yoder S., Rothenberg S., Laparoscopic duodenoduodenostomy in the neonate, J Pediatr Surg, 44, 5, pp. 906-908, (2009)
[62]  
Torroni F., De Angelis P., Caldaro T., di Abriola G.F., Ponticelli A., Bergami G., Endoscopic membranectomy of duodenal diaphragm: pediatric experience, Gastrointest Endosc, 63, 3, pp. 530-531, (2006)
[63]  
Escobar M.A., Ladd A.P., Grosfeld J.L., West K.W., Rescorla F.J., Scherer L.R., Duodenal atresia and stenosis: long-term follow-up over 30 years, J Pediatr Surg, 39, 6, pp. 867-871, (2004)
[64]  
Grosfeld J.L., Ballantine T.V., Shoemaker R., Operative management of intestinal atresia and stenosis based on pathologic findings, J Pediatr Surg, 14, 3, pp. 368-375, (1979)
[65]  
Lloyd D.A., Kenny S.E., anomalies including hernias, Walker’s pediatric gastrointestinal disease, (2008)
[66]  
Freeman S.B., Torfs C.P., Romitti P.A., Royle M.H., Druschel C., Hobbs C.A., Congenital gastrointestinal defects in Down syndrome: a report from the Atlanta and National Down Syndrome Projects, Clin Genet, 75, 2, pp. 180-184, (2009)
[67]  
Brantberg A., Blaas H.G., Salvesen K.A., Haugen S.E., Mollerlokken G., Eik-Nes S.H., Fetal duodenal obstructions: increased risk of prenatal sudden death, Ultrasound Obstet Gynecol, 20, 5, pp. 439-446, (2002)
[68]  
Pauer H.U., Viereck V., Krauss V., Osmers R., Krauss T., Incidence of fetal malformations in pregnancies complicated by oligo- and polyhydramnios, Arch Gynecol Obstet, 268, 1, pp. 52-56, (2003)
[69]  
Correia-Pinto J., Ribeiro A., Congenital duodenal obstruction and double-bubble sign, N Engl J Med, 371, 11, (2014)
[70]  
Laya B.F., Andres M.M., Conception N.D.P., Dizon R.H., Patterns of microcolon: imaging strategies for diagnosis of lower intestinal obstruction in neonates, J Am Osteopath Coll Radiol, 4, 1, pp. 1-11, (2015)