Laparoscopic Diamond Antroduodenostomy for Postcorrosive Pyloric Cicatrization: A Novel Approach
| Autor: | Ahmed Fares, Ahmed M.K. Wishahy, Khalid M. Elshimy, Mohamed Hamed Abouelfadl, Mohamed M. Elbarbary, Hamed M. Seleim, Sherif N. Kaddah, Gamal Eltagy, Moemen M. Farouk |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Caustics Jejunostomy Cicatrix 03 medical and health sciences Billroth i procedure 0302 clinical medicine Burns Chemical Humans Minimally Invasive Surgical Procedures Medicine Laparoscopy Pylorus medicine.diagnostic_test Gastric Outlet Obstruction business.industry Infant Gastric outlet obstruction medicine.disease Surgery Child Preschool 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology business |
| Zdroj: | Journal of Laparoendoscopic & Advanced Surgical Techniques. 29:538-541 |
| ISSN: | 1557-9034 1092-6429 |
| DOI: | 10.1089/lap.2018.0182 |
| Popis: | Traditionally, Billroth I procedure or bypass gastrojejunostomy were the recommended approaches for management of postcorrosive complete gastric outlet obstruction (GOO), whereas Heineke Mickulicz pyloroplasty was recommended for moderate mucosal injury with partial cicatrization. In this study, laparoscopic diamond antroduodenostomy was carried out as an alternative minimally invasive approach for cases with pyloric cicatricial obstruction.Between January and December 2017, children who were referred to Pediatric Surgery Department, Cairo University Hospital, with GOO as a consequence of caustic liquid ingestions were included in this study. Laparoscopic diamond antroduodenostomy was performed for the presented cases.Through the year 2017, 5 cases were approached with laparoscopic diamond antroduodenostomy. Isolated pyloric cicatrization was evident in 4 cases, whereas synchronous insult to thoracic esophagus and pylorus was manifest in the fifth case. Laparoscopic feeding jejunostomy completed the procedure for the case with esophageal stricture. Contrast study-24 hour postoperatively-assured no radiological leaks in the presented cases, where enteral feeding was gradually commenced, and patients discharged home a day later. After a mean follow-up of 13.5 months, neither recurrence of obstructive symptoms nor dumping was displayed. Cosmetic outlook inherent to the minimally invasive approach was appreciated by the parents.Laparoscopic diamond antroduodenostomy is a feasible approach for management of postcorrosive pyloric obstruction. It allowed early enteral feeding, with no dumping symptoms, in addition to the fundamental advantages of minimally invasive surgery. A bigger series and longer follow-up is recommended to verify the reported results. |
| Databáze: | OpenAIRE |
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