Duodenal atresia and stenosis is a frequent cause of congenital, intestinal obstruction.
Current management results in a 5% morbidity and mortality rate. Late complications are not uncommon.
In this study, researchers from the United States conducted a retrospective review of patients with duodenal anomalies at a tertiary children’s hospital between 1972 and 2001.
Duodenal atresia or stenosis was identified in 169 patients.
|Late mortality rate was 6%.|
|Journal of Pediatric Surgery|
The team found that, after a mean follow-up of 6 years, 20 children required additional abdominal operations. These included fundoplication, operation for complicated peptic ulcer disease, and adhesiolysis.
In addition, 16 children underwent revision of their initial repair.
The researchers found that there were 10 late deaths. These were attributed to complex cardiac malformations, central nervous system bleeding, pneumonia, anastomotic leak, and multisystem organ failure.
Dr Mauricio Escobara’s team concluded, “Late complications occur in 12% of patients with congenital duodenal anomalies, and the associated late mortality rate is 6%”.
“Follow-up of these patients into adulthood is recommended to identify and address these late occurrences”.