Enteric duplications presenting as antenatally detected abdominal cysts: is delayed resection appropriate?
Purpose: The aim of this study was to evaluate delayed elective resection of antenatally detected enteric duplication cysts. Methods: A retrospective casenote study of intraabdominal cysts detected antenatally between January 1991 and January 2002 found 37 fetuses with cysts. Twelve were enteric dup...
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| Veröffentlicht in: | Journal of pediatric surgery 2003-12, Vol.38 (12), p.1810-1813 |
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| creator | Foley, P.T Sithasanan, N McEwing, R Lipsett, J Ford, W.D.A Furness, M |
| description | Purpose:
The aim of this study was to evaluate delayed elective resection of antenatally detected enteric duplication cysts.
Methods:
A retrospective casenote study of intraabdominal cysts detected antenatally between January 1991 and January 2002 found 37 fetuses with cysts. Twelve were enteric duplications. Two were duodenal, 1 was an 85-cm tubular jejunoileal duplication, and 9 were ileocecal. Asymptomatic cysts were followed with serial ultrasound scars and resected electively over 14 months.
Results:
Three neonates had small bowel obstruction demanding laparotomy: 1 of the 2 infants with duodenal duplication cysts, 1 infant with an ileocecal duplication, and the infant with the tubular duplication. One with an ileocecal duplication became symptomatic at 2 months and underwent a laparotomy. Seven had their duplications resected electively between 6 weeks and 14 months, and the other is still being followed. Four of the 7 asymptomatic duplications electively resected contained gastric mucosa.
Conclusions:
Intraabdominal enteric duplication cysts are increasingly likely to be detected antenatally. The majority are likely to remain asymptomatic for several months at least, after which a resection can be planned. The prevalence of gastric mucosa suggests that they should not be left indefinitely. Laparoscopically assisted resection of ileocecal duplications is safe and effective. |
| doi_str_mv | 10.1016/j.jpedsurg.2003.08.032 |
| format | Article |
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The aim of this study was to evaluate delayed elective resection of antenatally detected enteric duplication cysts.
Methods:
A retrospective casenote study of intraabdominal cysts detected antenatally between January 1991 and January 2002 found 37 fetuses with cysts. Twelve were enteric duplications. Two were duodenal, 1 was an 85-cm tubular jejunoileal duplication, and 9 were ileocecal. Asymptomatic cysts were followed with serial ultrasound scars and resected electively over 14 months.
Results:
Three neonates had small bowel obstruction demanding laparotomy: 1 of the 2 infants with duodenal duplication cysts, 1 infant with an ileocecal duplication, and the infant with the tubular duplication. One with an ileocecal duplication became symptomatic at 2 months and underwent a laparotomy. Seven had their duplications resected electively between 6 weeks and 14 months, and the other is still being followed. Four of the 7 asymptomatic duplications electively resected contained gastric mucosa.
Conclusions:
Intraabdominal enteric duplication cysts are increasingly likely to be detected antenatally. The majority are likely to remain asymptomatic for several months at least, after which a resection can be planned. The prevalence of gastric mucosa suggests that they should not be left indefinitely. Laparoscopically assisted resection of ileocecal duplications is safe and effective.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2003.08.032</identifier><identifier>PMID: 14666474</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cysts - diagnostic imaging ; Cysts - surgery ; Digestive System Abnormalities - diagnostic imaging ; Digestive System Abnormalities - surgery ; Duodenum - abnormalities ; Duodenum - diagnostic imaging ; enteric duplication cysts ; Female ; Fetal Diseases - diagnostic imaging ; Humans ; Ileum - abnormalities ; Ileum - diagnostic imaging ; Infant ; Infant, Newborn ; Pregnancy ; Prenatal diagnosis ; Retrospective Studies ; Ultrasonography, Prenatal</subject><ispartof>Journal of pediatric surgery, 2003-12, Vol.38 (12), p.1810-1813</ispartof><rights>2003 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-af075cc19433da2c1343685455552629013b6dd7ecd4bb87b6df72feed8e655c3</citedby><cites>FETCH-LOGICAL-c430t-af075cc19433da2c1343685455552629013b6dd7ecd4bb87b6df72feed8e655c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpedsurg.2003.08.032$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14666474$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Foley, P.T</creatorcontrib><creatorcontrib>Sithasanan, N</creatorcontrib><creatorcontrib>McEwing, R</creatorcontrib><creatorcontrib>Lipsett, J</creatorcontrib><creatorcontrib>Ford, W.D.A</creatorcontrib><creatorcontrib>Furness, M</creatorcontrib><title>Enteric duplications presenting as antenatally detected abdominal cysts: is delayed resection appropriate?</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Purpose:
The aim of this study was to evaluate delayed elective resection of antenatally detected enteric duplication cysts.
Methods:
A retrospective casenote study of intraabdominal cysts detected antenatally between January 1991 and January 2002 found 37 fetuses with cysts. Twelve were enteric duplications. Two were duodenal, 1 was an 85-cm tubular jejunoileal duplication, and 9 were ileocecal. Asymptomatic cysts were followed with serial ultrasound scars and resected electively over 14 months.
Results:
Three neonates had small bowel obstruction demanding laparotomy: 1 of the 2 infants with duodenal duplication cysts, 1 infant with an ileocecal duplication, and the infant with the tubular duplication. One with an ileocecal duplication became symptomatic at 2 months and underwent a laparotomy. Seven had their duplications resected electively between 6 weeks and 14 months, and the other is still being followed. Four of the 7 asymptomatic duplications electively resected contained gastric mucosa.
Conclusions:
Intraabdominal enteric duplication cysts are increasingly likely to be detected antenatally. The majority are likely to remain asymptomatic for several months at least, after which a resection can be planned. The prevalence of gastric mucosa suggests that they should not be left indefinitely. Laparoscopically assisted resection of ileocecal duplications is safe and effective.</description><subject>Cysts - diagnostic imaging</subject><subject>Cysts - surgery</subject><subject>Digestive System Abnormalities - diagnostic imaging</subject><subject>Digestive System Abnormalities - surgery</subject><subject>Duodenum - abnormalities</subject><subject>Duodenum - diagnostic imaging</subject><subject>enteric duplication cysts</subject><subject>Female</subject><subject>Fetal Diseases - diagnostic imaging</subject><subject>Humans</subject><subject>Ileum - abnormalities</subject><subject>Ileum - diagnostic imaging</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Pregnancy</subject><subject>Prenatal diagnosis</subject><subject>Retrospective Studies</subject><subject>Ultrasonography, Prenatal</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKxDAUhoMozjj6CpKVu9bcmnbcqAzeQHCj65Amp5LSaWuSCn17M8yIS7MJ4fyXkw-hS0pySqi8bvN2BBsm_5kzQnhOqpxwdoSWtOA0Kwgvj9GSEMYyLmS1QGchtCQJS0JP0YIKKaUoxRK1D30E7wy209g5o6Mb-oBHDwH66PpPrAPWSdLrqLtuxhYimAgW69oOW9frDps5xHCDXUjDTs9ptnObXRLW4-iH0Tsd4fYcnTS6C3BxuFfo4_HhffOcvb49vWzuXzMjOImZbkhZGEPXgnOrmaFccFkVokiHSbYmlNfS2hKMFXVdlenRlKwBsBXIojB8ha72uan6a4IQ1dYFA12neximoEoqRMFS-grJvdD4IQQPjUqbbrWfFSVqR1m16pey2lFWpFKJcjJeHhqmegv2z3bAmgR3ewGkf3478CoYB70B63wio-zg_uv4AS8olDM</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>Foley, P.T</creator><creator>Sithasanan, N</creator><creator>McEwing, R</creator><creator>Lipsett, J</creator><creator>Ford, W.D.A</creator><creator>Furness, M</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20031201</creationdate><title>Enteric duplications presenting as antenatally detected abdominal cysts: is delayed resection appropriate?</title><author>Foley, P.T ; Sithasanan, N ; McEwing, R ; Lipsett, J ; Ford, W.D.A ; Furness, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-af075cc19433da2c1343685455552629013b6dd7ecd4bb87b6df72feed8e655c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Cysts - diagnostic imaging</topic><topic>Cysts - surgery</topic><topic>Digestive System Abnormalities - diagnostic imaging</topic><topic>Digestive System Abnormalities - surgery</topic><topic>Duodenum - abnormalities</topic><topic>Duodenum - diagnostic imaging</topic><topic>enteric duplication cysts</topic><topic>Female</topic><topic>Fetal Diseases - diagnostic imaging</topic><topic>Humans</topic><topic>Ileum - abnormalities</topic><topic>Ileum - diagnostic imaging</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Pregnancy</topic><topic>Prenatal diagnosis</topic><topic>Retrospective Studies</topic><topic>Ultrasonography, Prenatal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Foley, P.T</creatorcontrib><creatorcontrib>Sithasanan, N</creatorcontrib><creatorcontrib>McEwing, R</creatorcontrib><creatorcontrib>Lipsett, J</creatorcontrib><creatorcontrib>Ford, W.D.A</creatorcontrib><creatorcontrib>Furness, M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Foley, P.T</au><au>Sithasanan, N</au><au>McEwing, R</au><au>Lipsett, J</au><au>Ford, W.D.A</au><au>Furness, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Enteric duplications presenting as antenatally detected abdominal cysts: is delayed resection appropriate?</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>38</volume><issue>12</issue><spage>1810</spage><epage>1813</epage><pages>1810-1813</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Purpose:
The aim of this study was to evaluate delayed elective resection of antenatally detected enteric duplication cysts.
Methods:
A retrospective casenote study of intraabdominal cysts detected antenatally between January 1991 and January 2002 found 37 fetuses with cysts. Twelve were enteric duplications. Two were duodenal, 1 was an 85-cm tubular jejunoileal duplication, and 9 were ileocecal. Asymptomatic cysts were followed with serial ultrasound scars and resected electively over 14 months.
Results:
Three neonates had small bowel obstruction demanding laparotomy: 1 of the 2 infants with duodenal duplication cysts, 1 infant with an ileocecal duplication, and the infant with the tubular duplication. One with an ileocecal duplication became symptomatic at 2 months and underwent a laparotomy. Seven had their duplications resected electively between 6 weeks and 14 months, and the other is still being followed. Four of the 7 asymptomatic duplications electively resected contained gastric mucosa.
Conclusions:
Intraabdominal enteric duplication cysts are increasingly likely to be detected antenatally. The majority are likely to remain asymptomatic for several months at least, after which a resection can be planned. The prevalence of gastric mucosa suggests that they should not be left indefinitely. Laparoscopically assisted resection of ileocecal duplications is safe and effective.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>14666474</pmid><doi>10.1016/j.jpedsurg.2003.08.032</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Cysts - diagnostic imaging Cysts - surgery Digestive System Abnormalities - diagnostic imaging Digestive System Abnormalities - surgery Duodenum - abnormalities Duodenum - diagnostic imaging enteric duplication cysts Female Fetal Diseases - diagnostic imaging Humans Ileum - abnormalities Ileum - diagnostic imaging Infant Infant, Newborn Pregnancy Prenatal diagnosis Retrospective Studies Ultrasonography, Prenatal |
| title | Enteric duplications presenting as antenatally detected abdominal cysts: is delayed resection appropriate? |
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