Ein S H, Shandling B
J Pediatr Surg. 1986 Sep;21(9):798-801. doi: 10.1016/s0022-3468(86)80371-2.
Since 1979, three newborn males had duodenoduodenostomies for duodenal atresia, and all babies had smooth uncomplicated postoperative courses. There were no other anomalies. Between 6 and 18 months postoperatively, each infant developed an obstruction at the anastomosis that was initially treated with prolonged nasogastric suction. Because conservative management did not relieve the obstruction, the first two babies were operated on several times with revision of the anastomosis and bypass procedures, all of which were slow to function and required prolonged intravenous alimentation. It then became apparent that the duodenoduodenostomy was functionally obstructed. Therefore, the third infant was successfully treated with plication only of the dilated atonic proximal duodenum. All three children are now thriving more than 2 years after their surgery.
自1979年以来，有3名男性新生儿因十二指肠闭锁接受了十二指肠十二指肠吻合术，所有婴儿术后病程顺利，无并发症。未发现其他异常。术后6至18个月，每名婴儿均在吻合口处出现梗阻，最初采用长时间鼻胃吸引治疗。由于保守治疗未能缓解梗阻，前两名婴儿接受了多次手术，包括吻合口修复和旁路手术，但所有这些手术功能恢复缓慢，需要长时间静脉营养支持。随后发现十二指肠十二指肠吻合术存在功能性梗阻。因此，第三名婴儿仅通过对扩张无张力的近端十二指肠进行折叠术就获得了成功治疗。所有三名儿童在手术后2年多来都茁壮成长。
