Prenatal detection of congenital duodenal obstruction - impact on postnatal care

  • Background: Duodenal obstruction is a rare cause of congenital bowel obstruction. Prenatal ultrasound could be suggestive of duodenal atresia if polyhydramnios and the double bubble sign are visible. Prenatal diagnosis should prompt respective prenatal care, including surgery. The aim of this study was to investigate the rate and importance of prenatally diagnosed duodenal obstruction, comparing incomplete and complete duodenal obstruction. Methods: A retrospective, single-center study was performed using data from patients operated on for duodenal obstruction between 2004 and 2019. Prenatal ultrasound findings were obtained from maternal logbooks and directly from the investigating obstetricians. Postnatal data were obtained from electronic charts, including imaging, operative notes and follow-up. Results: A total of 33/64 parents of respective patients agreed to provide information on prenatal diagnostics. In total, 11/15 patients with complete duodenal obstruction and 0/18 patients with incomplete duodenal obstruction showed typical prenatal features. Prenatal diagnosis prompted immediate surgical treatment after birth. Conclusion: Prenatal diagnosis of congenital duodenal obstruction is only achievable in cases of complete congenital duodenal obstruction by sonographic detection of the pathognomonic double bubble sign. Patients with incomplete duodenal obstruction showed no sign of duodenal obstruction on prenatal scans and thus were diagnosed and treated later.

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Author:Kerstin SaalabianGND, Florian Michael FriedmacherORCiDGND, Till-Martin TheilenORCiDGND, Daniel KeeseGND, Udo RolleORCiDGND, Stefan GfrörerORCiDGND
URN:urn:nbn:de:hebis:30:3-818262
DOI:https://doi.org/10.3390/children9020160
ISSN:2227-9067
Parent Title (English):Children
Publisher:MDPI
Place of publication:Basel
Document Type:Article
Language:English
Date of Publication (online):2022/01/26
Date of first Publication:2022/01/26
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2024/01/29
Tag:congenital duodenal obstruction; pediatric surgery; postnatal care; prenatal diagnostic
Volume:9
Issue:2, art. 160
Article Number:160
Page Number:9
First Page:1
Last Page:9
HeBIS-PPN:517874008
Institutes:Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - Namensnennung 4.0