Duodenal occlusions: atresias, stenosis, and annular pancreas: Round Table Newborn intestinal occlusion; introduction and coordination Eduardo Anavitarte
Oclusiones duodenales: atresias, estenosis y páncreas anular: Mesa Redonda Oclusión intestinal del recién nacido; introducción y coordinación Eduardo Anavitarte
Resumen:
he author reports newborn intestinal obstruction classification in general, and newborn duodenal obstruction classification, especially.The paper discusses newborn congenital duodenal obstruction by atresia, stenosis and annular pancreas (intrinsics duodenals causes). The annular pancreas is also considered as an intrinsic duodenal causeRickham-. He studies: its embriology ( types). its clinical,its phisionpathology, its radiology (characteristic double air pouch), its frequency, associated malformations, diagnosis and differencial diagnosis.Is described with emphasis, the vomiting contains bile, ( the point of obstruction below the papilla of Vater is the most frequent, in more than 90 % ), and the absence of abdominal distention is also appointed. By-pass operation is always made, and a side-to-side duodeno-jejunostomy isoperistaltic retrocolic, is considered in the treatment the surgical procedure of choice. Succesful depends of medically, surgically and nurserycares and an anesthesiologist with experience in newborn is required. Is pointed up, its high mortality. ,{50 - 60 % ) and a nor obstructive jaundice, by indirect bilirubin (MañéLattaro syndrome).
El autor realiza la clasificación de las oclusiones intestinales en general y de las oclusiones duodenales del R. N. en particular. Estudia las oclusiones duodenales congénitas por: atresias, estenosis y páncreas anular ( causas duodenales intrínsecas; el páncreas anulares también considerado como causa intrínseca -Rickham). su embriología (tipos). clínica, fisiopatología, radiología (imagen de doble burbuja). frecuencia, malformaciones asociadas, diagnóstico positivo y diferencial. Destacando la importancia de los vómitos biliosos (más del 90 %, por ser infravaterianas en su mayoría), y la existencia de vientre plano. La duodenoyeyunostomía laterolateral isoperistáltica retrocólica es considerada como el tratamiento quirúrgico de. elección. Destaca también la importancia del equipo médico, quirúrgico y de enfermería; anestesista con, experiencia en R. N., para obtener mejores resultados. Asimismo destaca su elevada mortalidad ( 50 a 60 % ) y la ictericia no obstructiva, a bilirrubina indirecta (síndrome Mañé-Lattaro) presente en .algunos casos.
| 1973 | |
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obstrucción intestinal duodeno cirugía abdominal intestinal occlusion duodenum abdominal surgery |
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| Español | |
| Sociedad de Cirugía del Uruguay | |
| Revista Cirugía del Uruguay | |
| https://revista.scu.org.uy/index.php/cir_urug/article/view/2403 | |
| Acceso abierto |
| Sumario: | he author reports newborn intestinal obstruction classification in general, and newborn duodenal obstruction classification, especially.The paper discusses newborn congenital duodenal obstruction by atresia, stenosis and annular pancreas (intrinsics duodenals causes). The annular pancreas is also considered as an intrinsic duodenal causeRickham-. He studies: its embriology ( types). its clinical,its phisionpathology, its radiology (characteristic double air pouch), its frequency, associated malformations, diagnosis and differencial diagnosis.Is described with emphasis, the vomiting contains bile, ( the point of obstruction below the papilla of Vater is the most frequent, in more than 90 % ), and the absence of abdominal distention is also appointed. By-pass operation is always made, and a side-to-side duodeno-jejunostomy isoperistaltic retrocolic, is considered in the treatment the surgical procedure of choice. Succesful depends of medically, surgically and nurserycares and an anesthesiologist with experience in newborn is required. Is pointed up, its high mortality. ,{50 - 60 % ) and a nor obstructive jaundice, by indirect bilirubin (MañéLattaro syndrome). |
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