Guiot P, Bachy A
Acta Chir Belg. 1984 Sep-Oct;84(5):273-5.
The authors report five cases of intrinsic duodenal obstruction in neonates, operated upon since 1976 to 1982. In 3 cases, it's a question of atresia and in two cases of annular pancreas. The associated lesions are in one case, a macrocephaly, in a second case, a microcephaly with ocular lesions and in a third case a jejunal atresia. The operating procedure consists four times in a duodeno-jejunostomy and one time in a duodeno-duodenostomy. A complementary jejunal resection with end-to-end anastomosis is necessary in the case of associated jejunal atresia. A discharge gastrostomy is performed once only. The post operative feeding is exclusively parenteral. A cholostatic jaundice appears in two cases but run its course favourably. The postoperative course is simple. There is no death. The five cases evolue normally at long term.
作者报告了1976年至1982年期间接受手术治疗的5例新生儿先天性十二指肠梗阻病例。其中3例为闭锁,2例为环状胰腺。相关病变在1例中为巨头畸形,在第2例中为小头畸形伴眼部病变,在第3例中为空肠闭锁。手术方式4次采用十二指肠空肠吻合术,1次采用十二指肠十二指肠吻合术。对于合并空肠闭锁的病例,需要进行补充性空肠切除并端端吻合。仅进行了1次胃造瘘术。术后喂养完全采用肠外营养。2例出现胆汁淤积性黄疸,但病情顺利好转。术后病程简单。无死亡病例。5例患儿长期发育正常。