Comparison of two different surgical methods in the treatment of congenital duodenal obstructions
İrem İnanç1, Ümit Nusret Başaran1, Dinçer Avlan2
1Trakya Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Anabilim Dalı, Edirne, Türkiye
2Trakya Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Anabilim Dalı, Çocuk Ürolojisi Bilim Dalı, Edirne, Türkiye
Keywords: Duodenoduodenostomy, duodenojejunostomy, duodenal obstruction, newborn
Abstract
Objective: Duodenal obstructions are among the most common gastrointestinal system anomalies in the neonatal period and repaired by various surgical techniques. In this study, the results of duodenoduodenostomy and duodenojejunostomy methods used in the repair of duodenal obstructions were compared using the predetermined parameters.
Methods: The records of patients treated with duodenal obstruction between 2006-2019 in our clinic were retrospectively reviewed and 19 patients whose data could be accessed were included in the study. Patients who underwent duodenoduodenostomy (dd) and duodenojejunostomy (dj) were grouped separately. While duodenoduodenostomy was performed in 13, and duodenojejunostomy in 6 patients.
Results: Dd and dj groups were compared statistically in terms of demographic characteristics, onset of feeding, length of hospital stay and postoperative complications. No statistically significant difference was found between the two groups in terms of the predetermined parameters.
Conclusion: We think that this technique should be kept in mind as an alternative surgical method in the treatment of these patients. Because the results of these two techniques used in the repair of duodenal obstruction are not different and the results of duodenojejunostomy are acceptable in anatomically appropriate patients.
Atıf vermek için: İnanç İ, Başaran ÜN, Avlan D. Doğumsal duodenal tıkanıklıkların tedavisinde iki farklı ameliyat yönteminin karşılaştırılması. Çoc. Cer. Derg. 2020;34(2):39-43.
Bu çalışma 35. Ulusal Çocuk Cerrahisi Kongresi’nde “Doğumsal Duodenal Tıkanıklıkların Cerrahi Tedavisinde İki Farklı Ameliyat Tekniği Sonuçlarının Karşılaştırılması” başlığıyla sunuldu.