Department of Pediatric Surgery, Alexandroupolis University Hospital, Democritus University of Thrace School of Medicine, Alexandroupolis, Greece.
J Gastrointest Surg. 2010 May;14(5):916-25. doi: 10.1007/s11605-009-1124-z. Epub 2009 Dec 22.
Congenital anomalies of the gastrointestinal tract are a significant cause of morbidity in children and less frequently in adults. In rare cases, they may run undetected during childhood and may present during adolescence. These abnormalities include developmental obstructive defects of the duodenum and the small intestine, anomalies of rotation and fixation, intestinal duplications, and anomalies of the colon and rectum.
When detected in adulthood, they may require different evaluation and surgical correction. Some of these anomalies should be managed surgically as soon as they cause symptoms. Others may cause persistent problems in adulthood requiring medical management for years. Herein, we present a comprehensive review of all the different ways of diagnosis and management of these anomalies reported in the literature.
胃肠道先天性畸形是儿童发病的重要原因，在成人中则相对少见。这些畸形包括十二指肠和小肠的发育性梗阻性缺陷、旋转和固定异常、肠重复畸形以及结肠和直肠的畸形。在极少数情况下，它们可能在儿童期未被发现，并在青春期出现。讨论：在成人中发现时，它们可能需要不同的评估和手术矫正。有些畸形一旦出现症状就需要手术治疗。而另一些则可能在成年后持续存在问题，需要多年的药物治疗。本文对文献中报道的所有不同诊断和治疗这些畸形的方法进行了全面回顾。
