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Alimentary Tract Duplication in Pediatric Patients: Its Distinct Clinical Features and Managements
PURPOSE: Alimentary tract duplication (ATD) is a rare congenital condition that may occur throughout the intestinal tract. Clinical symptoms are generally related to the involved site, size of duplication, or associated ectopic mucosa. This study aimed to identify clinical implications by anatomical...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7481056/ https://www.ncbi.nlm.nih.gov/pubmed/32953637 http://dx.doi.org/10.5223/pghn.2020.23.5.423 |
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author | Kim, Soo-Hong Cho, Yong-Hoon Kim, Hae-Young |
author_facet | Kim, Soo-Hong Cho, Yong-Hoon Kim, Hae-Young |
author_sort | Kim, Soo-Hong |
collection | PubMed |
description | PURPOSE: Alimentary tract duplication (ATD) is a rare congenital condition that may occur throughout the intestinal tract. Clinical symptoms are generally related to the involved site, size of duplication, or associated ectopic mucosa. This study aimed to identify clinical implications by anatomical locations and age group and then suggest a relevant management according to its distinct features. METHODS: We retrospectively reviewed the clinical data of pediatric patients who received a surgical management due to ATD. Furthermore, data including patients' demographics, anatomical distribution of the duplication, clinical features according to anatomical variants, and outcomes were compared. RESULTS: A total of 25 patients were included in this study. ATD developed most commonly in the midgut, especially at the ileocecal region. The most common clinical presentation was abdominal pain, a sign resulting from intestinal obstruction, gastrointestinal bleeding, and intussusception. The non-communicating cystic type was the most common pathological feature in all age groups. Clinically, prenatal detection was relatively low; however, it usually manifested before the infantile period. A laparoscopic procedure was performed in most cases (18/25, 72.0%), significantly in the midgut lesion (p=0.012). CONCLUSION: ATD occurs most commonly at the ileocecal region, and a symptomatic one may usually be detected before the early childhood period. Surgical management should be considered whether symptom or not regarding its symptomatic progression, and a minimal invasive procedure is the preferred method, especially for the midgut lesion. |
format | Online Article Text |
id | pubmed-7481056 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition |
record_format | MEDLINE/PubMed |
spelling | pubmed-74810562020-09-18 Alimentary Tract Duplication in Pediatric Patients: Its Distinct Clinical Features and Managements Kim, Soo-Hong Cho, Yong-Hoon Kim, Hae-Young Pediatr Gastroenterol Hepatol Nutr Original Article PURPOSE: Alimentary tract duplication (ATD) is a rare congenital condition that may occur throughout the intestinal tract. Clinical symptoms are generally related to the involved site, size of duplication, or associated ectopic mucosa. This study aimed to identify clinical implications by anatomical locations and age group and then suggest a relevant management according to its distinct features. METHODS: We retrospectively reviewed the clinical data of pediatric patients who received a surgical management due to ATD. Furthermore, data including patients' demographics, anatomical distribution of the duplication, clinical features according to anatomical variants, and outcomes were compared. RESULTS: A total of 25 patients were included in this study. ATD developed most commonly in the midgut, especially at the ileocecal region. The most common clinical presentation was abdominal pain, a sign resulting from intestinal obstruction, gastrointestinal bleeding, and intussusception. The non-communicating cystic type was the most common pathological feature in all age groups. Clinically, prenatal detection was relatively low; however, it usually manifested before the infantile period. A laparoscopic procedure was performed in most cases (18/25, 72.0%), significantly in the midgut lesion (p=0.012). CONCLUSION: ATD occurs most commonly at the ileocecal region, and a symptomatic one may usually be detected before the early childhood period. Surgical management should be considered whether symptom or not regarding its symptomatic progression, and a minimal invasive procedure is the preferred method, especially for the midgut lesion. The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2020-09 2020-08-27 /pmc/articles/PMC7481056/ /pubmed/32953637 http://dx.doi.org/10.5223/pghn.2020.23.5.423 Text en Copyright © 2020 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition https://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Soo-Hong Cho, Yong-Hoon Kim, Hae-Young Alimentary Tract Duplication in Pediatric Patients: Its Distinct Clinical Features and Managements |
title | Alimentary Tract Duplication in Pediatric Patients: Its Distinct Clinical Features and Managements |
title_full | Alimentary Tract Duplication in Pediatric Patients: Its Distinct Clinical Features and Managements |
title_fullStr | Alimentary Tract Duplication in Pediatric Patients: Its Distinct Clinical Features and Managements |
title_full_unstemmed | Alimentary Tract Duplication in Pediatric Patients: Its Distinct Clinical Features and Managements |
title_short | Alimentary Tract Duplication in Pediatric Patients: Its Distinct Clinical Features and Managements |
title_sort | alimentary tract duplication in pediatric patients: its distinct clinical features and managements |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7481056/ https://www.ncbi.nlm.nih.gov/pubmed/32953637 http://dx.doi.org/10.5223/pghn.2020.23.5.423 |
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