[Immediate and secondary results of duodeno-duodenostomies with tapering in the treatment of total congenital duodenal obstructions in newborn infants].

For the last 5 years, duodeno-duodenostomy with tapering of the dilated duodenal pouch has been the usual method of surgical treatment of complete neo-natal duodenal occlusions. The results of this technic in 25 operated newborns have been compared with those obtained in a previous group of 24 cases operated by technics preserving the duodenal pouch. By restoring the peristaltic efficiency of the upper part of the duodenum, this technic allows early oral feeding (average delay: 7 days), thus avoiding a classical inconvenience of the usual methods of duodeno-duodenostomy or duodeno-jejunostomy. The aetiology of a non-patent anastomosis after the 10th post-operative day is clarified, a persistent duodenal obstruction indicates an organic complication that must lead to re-operation.