Presentation and Surgical Management of Duodenal Duplication in Adults
| Autor: | Michael D. Bourque, Beata E. Lobel, David W. McFadden, Namita Akolkar, Caroline C. Jadlowiec, Thomas J. Devers |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Gastrointestinal bleeding medicine.diagnostic_test business.industry Duodenal duplication lcsh:Surgery Case Report lcsh:RD1-811 medicine.disease Malignancy Surgery Endoscopy medicine Pancreatitis Pharmacology (medical) Presentation (obstetrics) business Ampulla Partial excision |
| Zdroj: | Case Reports in Surgery, Vol 2015 (2015) Case Reports in Surgery |
| ISSN: | 2090-6919 2090-6900 |
| Popis: | Duodenal duplications in adults are exceedingly rare and their diagnosis remains difficult as symptoms are largely nonspecific. Clinical presentations include pancreatitis, biliary obstruction, gastrointestinal bleeding from ectopic gastric mucosa, and malignancy. A case of duodenal duplication in a 59-year-old female is presented, and her treatment course is reviewed with description of combined surgical and endoscopic approach to repair, along with a review of historic and current recommendations for management. Traditionally, gastrointestinal duplications have been treated with surgical resection; however, for duodenal duplications, the anatomic proximity to the biliopancreatic ampulla makes surgical management challenging. Recently, advances in endoscopy have improved the clinical success of cystic intraluminal duodenal duplications. Despite these advances, surgical resection is still recommended for extraluminal tubular duplications although combined techniques may be necessary for long tubular duplications. For duodenal duplications, a combined approach of partial excision combined with mucosal stripping may offer advantage. |
| Databáze: | OpenAIRE |
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