Schier F, Schier C, Waldschmidt J, Grasemann S
Abteilung für Kinderchirurgie, Klinikum Steglitz der Freien Universität Berlin, West.
Zentralbl Chir. 1990;115(3):135-42.
145 children with duodenal atresia were operated on between 1971 and 1988. 57 were premature, 48 newborn, 11 toddlers and 5 older children. Once the immediate perioperative phase is overcome, the postoperative prognosis is determined only by the severity of associated anomalies. Most atresias were found to be located prepapillary. Trisomy 21, malrotations and vitium cordis were the most frequent associated anomalies. Relaparotomies were required in 21%, mostly because of adhesions.
1971年至1988年间，145例十二指肠闭锁患儿接受了手术治疗。其中57例为早产儿，48例为新生儿，11例为幼儿，5例为大龄儿童。一旦度过围手术期，术后预后仅取决于相关畸形的严重程度。大多数闭锁位于乳头前。21三体综合征、旋转不良和心脏畸形是最常见的相关畸形。21%的患儿需要再次剖腹手术，主要原因是粘连。
