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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/26764
Title: Surgical treatment for congenital duodenal obstruction
Authors: Ravit Ruangtrakool
Mongkol Laohapensang
Akkrapol Mungnirandr
Chana Sathornkich
Mahidol University
Keywords: Medicine
Issue Date: 1-Jun-2001
Citation: Journal of the Medical Association of Thailand. Vol.84, No.6 (2001), 842-849
Abstract: Thirty-four congenital duodenal obstructions (19 duodenal atresia, 7 duodenal web, 7 annular pancreas and one duodenal stenosis) were surgically treated in Siriraj Hospital between 1990 and 1999. Eleven per cent of duodenal atresia had no bile-stained vomiting. Duodenal web which received web excision and duodenoplasty in 43 per cent of cases, also presented with bile-stained vomiting. Duodeno-duodenostomy, duodeno-jejunostomy and web excision with duodenoplasty were performed in 29, 2 and 3 patients respectively. Duodeno-duodenostomy and web excision with duodenoplasty had no difference in the feeding capability. There was no statistically significant difference in duration of TPN, ability to be early fed, post-operative onset of full feeding and hospital stay between diamond-shaped (n = 18) and side-to-side (n = 11) duodeno-duodenostomy. Although transanastomotic feeding tube (n = 4) decreased a percentage of TPN requirement and made early feeding possible, the onset of full feeding, duration of TPN and hospital stay were not different from those who had no transanastomotic tube (n = 30).
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0035379369&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/26764
ISSN: 01252208
Appears in Collections:Scopus 2001-2005

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