دورية أكاديمية
Laparoscopic Diamond Antroduodenostomy for Postcorrosive Pyloric Cicatrization: A Novel Approach.
| العنوان: | Laparoscopic Diamond Antroduodenostomy for Postcorrosive Pyloric Cicatrization: A Novel Approach. |
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| المؤلفون: | Seleim HM; 1 Department of Pediatric Surgery, Tanta University, Tanta, Egypt., Wishahy AMK; 2 Department of Pediatric Surgery, Cairo University, Cairo, Egypt., Abouelfadl MH; 2 Department of Pediatric Surgery, Cairo University, Cairo, Egypt., Farouk MM; 2 Department of Pediatric Surgery, Cairo University, Cairo, Egypt., Elshimy K; 1 Department of Pediatric Surgery, Tanta University, Tanta, Egypt., Fares AE; 3 Department of Pediatric Surgery, Fayoum University, Fayoum, Egypt., Kaddah SN; 2 Department of Pediatric Surgery, Cairo University, Cairo, Egypt., Eltagy G; 2 Department of Pediatric Surgery, Cairo University, Cairo, Egypt., Elbarbary MM; 2 Department of Pediatric Surgery, Cairo University, Cairo, Egypt. |
| المصدر: | Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2019 Apr; Vol. 29 (4), pp. 538-541. Date of Electronic Publication: 2019 Feb 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9706293 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-9034 (Electronic) Linking ISSN: 10926429 NLM ISO Abbreviation: J Laparoendosc Adv Surg Tech A Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1997- |
| مواضيع طبية MeSH: | Burns, Chemical/*complications , Caustics/*adverse effects , Gastric Outlet Obstruction/*chemically induced , Gastric Outlet Obstruction/*surgery , Jejunostomy/*methods , Laparoscopy/*methods , Pylorus/*injuries , Pylorus/*surgery, Child, Preschool ; Cicatrix ; Female ; Humans ; Infant ; Male ; Minimally Invasive Surgical Procedures/methods |
| مستخلص: | Background: 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. Patients and Methods: 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. Results: 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. Conclusion: 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. |
| فهرسة مساهمة: | Keywords: antroduodenostomy; corrosive; gastric outlet obstruction; laparoscopy |
| المشرفين على المادة: | 0 (Caustics) |
| تواريخ الأحداث: | Date Created: 20190214 Date Completed: 20190611 Latest Revision: 20190613 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1089/lap.2018.0182 |
| PMID: | 30758265 |
| قاعدة البيانات: | MEDLINE |
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