PEDIATRICS Vol. 43 No. 1 January 1969, pp. 79-83
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CONGENITAL ATRESIA AND STENOSIS OF THE DUODENUM

A Review Compiled from the Members of the Surgical Section of the American Academy of Pediatrics

Eric W. Fonkalsrud M.D.1, Alfred A. deLorimier M.D.1, and Daniel M. Hays M.D.1

1 Departments of Surgery, University of California, Los Angeles, School of Medicine, Children's Hospital of Los Angeles, University of Southern California, Los Angeles, and the University of California Medical Center, San Francisco

A review is presented of 503 patients with congenital duodenal obstruction, compiled from 65 hospitals by the Surgical Section of the American Academy of Pediatrics. Four hundred eighty-seven patients underwent primary operative correction of the malformation with an overall early and late mortality rate of 36%.

Complications from associated major congenital malformations were the leading cause of death. Many of these anomalies were potentially correctable had they been recognized and early treatment instituted. More than half of the infants with duodenal atresia had associated malformations. Thirty percent of the patients had Down's syndrome.

End-to-side or side-to-side duodenoduodenostomy or jejunostomy are the most commonly used operative techniques for duodenal atresia. General anesthesia and tube gastrostomy are usually employed.

Submitted on April 29, 1968
Accepted on August 30, 1968




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