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Prenatal Detection of Congenital Duodenal Obstruction—Impact on Postnatal Care

Background: Duodenal obstruction is a rare cause of congenital bowel obstruction. Prenatal ultrasound could be suggestive of duodenal atresia if polyhydramnios and the double bubble sign are visible. Prenatal diagnosis should prompt respective prenatal care, including surgery. The aim of this study...

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Autores principales: Saalabian, Kerstin, Friedmacher, Florian, Theilen, Till-Martin, Keese, Daniel, Rolle, Udo, Gfroerer, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8870145/
https://www.ncbi.nlm.nih.gov/pubmed/35204881
http://dx.doi.org/10.3390/children9020160
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author Saalabian, Kerstin
Friedmacher, Florian
Theilen, Till-Martin
Keese, Daniel
Rolle, Udo
Gfroerer, Stefan
author_facet Saalabian, Kerstin
Friedmacher, Florian
Theilen, Till-Martin
Keese, Daniel
Rolle, Udo
Gfroerer, Stefan
author_sort Saalabian, Kerstin
collection PubMed
description Background: Duodenal obstruction is a rare cause of congenital bowel obstruction. Prenatal ultrasound could be suggestive of duodenal atresia if polyhydramnios and the double bubble sign are visible. Prenatal diagnosis should prompt respective prenatal care, including surgery. The aim of this study was to investigate the rate and importance of prenatally diagnosed duodenal obstruction, comparing incomplete and complete duodenal obstruction. Methods: A retrospective, single-center study was performed using data from patients operated on for duodenal obstruction between 2004 and 2019. Prenatal ultrasound findings were obtained from maternal logbooks and directly from the investigating obstetricians. Postnatal data were obtained from electronic charts, including imaging, operative notes and follow-up. Results: A total of 33/64 parents of respective patients agreed to provide information on prenatal diagnostics. In total, 11/15 patients with complete duodenal obstruction and 0/18 patients with incomplete duodenal obstruction showed typical prenatal features. Prenatal diagnosis prompted immediate surgical treatment after birth. Conclusion: Prenatal diagnosis of congenital duodenal obstruction is only achievable in cases of complete congenital duodenal obstruction by sonographic detection of the pathognomonic double bubble sign. Patients with incomplete duodenal obstruction showed no sign of duodenal obstruction on prenatal scans and thus were diagnosed and treated later.
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spelling pubmed-88701452022-02-25 Prenatal Detection of Congenital Duodenal Obstruction—Impact on Postnatal Care Saalabian, Kerstin Friedmacher, Florian Theilen, Till-Martin Keese, Daniel Rolle, Udo Gfroerer, Stefan Children (Basel) Article Background: Duodenal obstruction is a rare cause of congenital bowel obstruction. Prenatal ultrasound could be suggestive of duodenal atresia if polyhydramnios and the double bubble sign are visible. Prenatal diagnosis should prompt respective prenatal care, including surgery. The aim of this study was to investigate the rate and importance of prenatally diagnosed duodenal obstruction, comparing incomplete and complete duodenal obstruction. Methods: A retrospective, single-center study was performed using data from patients operated on for duodenal obstruction between 2004 and 2019. Prenatal ultrasound findings were obtained from maternal logbooks and directly from the investigating obstetricians. Postnatal data were obtained from electronic charts, including imaging, operative notes and follow-up. Results: A total of 33/64 parents of respective patients agreed to provide information on prenatal diagnostics. In total, 11/15 patients with complete duodenal obstruction and 0/18 patients with incomplete duodenal obstruction showed typical prenatal features. Prenatal diagnosis prompted immediate surgical treatment after birth. Conclusion: Prenatal diagnosis of congenital duodenal obstruction is only achievable in cases of complete congenital duodenal obstruction by sonographic detection of the pathognomonic double bubble sign. Patients with incomplete duodenal obstruction showed no sign of duodenal obstruction on prenatal scans and thus were diagnosed and treated later. MDPI 2022-01-26 /pmc/articles/PMC8870145/ /pubmed/35204881 http://dx.doi.org/10.3390/children9020160 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Saalabian, Kerstin
Friedmacher, Florian
Theilen, Till-Martin
Keese, Daniel
Rolle, Udo
Gfroerer, Stefan
Prenatal Detection of Congenital Duodenal Obstruction—Impact on Postnatal Care
title Prenatal Detection of Congenital Duodenal Obstruction—Impact on Postnatal Care
title_full Prenatal Detection of Congenital Duodenal Obstruction—Impact on Postnatal Care
title_fullStr Prenatal Detection of Congenital Duodenal Obstruction—Impact on Postnatal Care
title_full_unstemmed Prenatal Detection of Congenital Duodenal Obstruction—Impact on Postnatal Care
title_short Prenatal Detection of Congenital Duodenal Obstruction—Impact on Postnatal Care
title_sort prenatal detection of congenital duodenal obstruction—impact on postnatal care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8870145/
https://www.ncbi.nlm.nih.gov/pubmed/35204881
http://dx.doi.org/10.3390/children9020160
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