Center for Surgical Outcomes Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205.
Division of Pediatric Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205.
Semin Pediatr Surg. 2022 Feb;31(1):151140. doi: 10.1016/j.sempedsurg.2022.151140. Epub 2022 Feb 18.
Congenital duodenal obstruction (CDO) occurs due to intrinsic and extrinsic mechanisms but is most often caused by intrinsic duodenal atresia and stenosis. This review will summarize the history, epidemiology, and etiologies associated with the most common causes of CDO. The clinical presentation, complex diagnostic considerations, and current surgical repair options for duodenal atresia and stenosis will also be discussed. Finally, both historical and recent controversies which continue to affect the surgical decision-making in the management of these patients will be highlighted.
先天性十二指肠梗阻（CDO）的发生是由内在和外在机制引起的，但最常见的原因是内在性十二指肠闭锁和狭窄。本综述将总结 CDO 最常见病因的历史、流行病学和病因。还将讨论十二指肠闭锁和狭窄的临床表现、复杂的诊断注意事项和当前的手术修复选择。最后，将重点介绍影响这些患者管理中手术决策的历史和近期争议。
