Konjenital duodenal weblerde radyolojik bulgular

Hasibe Gökçe Çınar; Yasemin Taşçı Yıldız

Research Article

Konjenital duodenal weblerde radyolojik bulgular

Year 2022, Volume: 15 Issue: (Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı, 118 - 125, 30.06.2022

Hasibe Gökçe Çınar Yasemin Taşçı Yıldız

Abstract

Amaç: Konjenital duodenal web tanısı alan olguların klinik, radyolojik bulgularını değerlendirmeyi ve radyolojik yöntemlerin tanıdaki rolünü göstermeyi amaçladık. Yöntem: 2008 – 2022 yılları arasında hastanemizde ösefagus-mide-duodenuma yönelik skopik inceleme (ÖMD) yapılan hastalar retrospektif olarak tarandı ve duodenal web tanısı alan sekiz olgu cinsiyet, yaş, doğum zamanı, eşlik eden konjenital anomaliler, tanı zamanları ve semptomlar yönünden kaydedildi. Radyolojik olarak ayakta direkt batın grafisi (ADBG), abdominal ultrasonografi (USG) ve ÖMD inceleme bulguları değerlendirildi. Bulgular:14 yıllık süreçte duodenal web tanısı alan sekiz olgunun beşi erkek (%62) üçü kız (%38) idi. Yaş aralığı 1 gün - 2 yıl 1 aydı. Bu olguların üçü premature olup gestasyonel yaşları 28-33 hafta arasındaydı. Eşlik eden patolojiler, bir olguda Down sendromu, bir olguda kardiyak anomaliler ve renal agenezi, bir olguda korpus kallosum agenezisi idi. Bir olgu diabetik anne bebeğiydi. Tanı zamanları 5 gün-760 gün arasında değişmekteydi. Olguların ikisinde antenatal USG tanısı mevcuttu. Beş olguda kusma şikayeti mevcut olup birinde kusma safralıydı. Görüntülemede ADBG, abdominal USG ve ÖMD incelemesi yapıldı. ADBG’de üç olguda mide ve duodenal gaz gölgesinde distansiyon, iki olguda ise duodenal gaz gölgesinde distansiyon saptandı. ÖMD incelemesinde olguların hepsinde stenoz proksimalindeki duodenal segmentte dilatasyon mevcuttu. Kontrast maddenin distale geçiş süresi uzamıştı. Beş olguda stenoz bölgesinde radyolüsen hat şeklinde web izlendi. Tüm olgular tetkik sonrası opere edildi. Sonuç: Konjenital duodenal obstruksiyon nedenlerinden biri olan webler gastrointestinal sistemin nadir görülen anomalilerindendir. Webteki açıklığın boyutuna bağlı olarak tanı süresi gecikebilir. Klinik olarak şüphelenilen olgularda duodenal web ayırıcı tanıda düşünülmeli, hastalar skopik olarak ÖMD ile değerlendirilmelidir.

Keywords

Konjenital duodenal web, konjenital gastrointestinal obstruksiyon, üst gastrointestinal sistem kontrastlı inceleme

References

1. Lawrence MJ, Ford WD, Furness ME et al. Congenital duodenal obstruction: early antenatal ultrasound diagnosis. Pediatr Surg Int 2000; 16: 342–345.
2. Bailey PV, Tracy TF Jr., Connors RH et al. Congenital duodenal obstruction: a 32-year review. J Pediatr Surg. 1993; 28: 92–95.
3. Mustafawi AR, Hassan ME. Congenital duodenal obstruction in children: a decade's experience. Eur J Pediatr Surg. 2008; 18: 93–97.
4. Zhang Q, Chen Y, Hou D, Guo W. Analysis of postoperative reoperation for congenital duodenal obstruction. Asian Journal of Surgery. 2005; 28: 16 – 17.
5. Kimble RM, Harding J, Kolbe A. Additional congenital anomalies in babies with gut atresia or stenosis: when to investigate, and which investigation. Pediatr Surg Int. 1997; 12: 565 – 570.
6. Lloyd D, Kenny SE. Congenital anomalies. In: Walker WA, editor. Pediatric gastrointestinal disease. 4th ed. Hamilton, Ontario: BC Becker Inc.; 2004, p. 565e7.
7. Beeks A, Gosche J, Giles H. et al. Endoscopic dilatation and partial resection of a duodenal web in an infant. J Pediatr Gastroenterol Nutr. 2009;48:378–381.
8. Poddar U, Jain V, Yachha SK, Srivastava A. Congenital duodenal web: successful management with endoscopic dilatation. Endosc Int Open. 2016;4(3): E238-E241.
9. Lawrence MJ, Ford WD, Furness ME et al. Congenital duodenal obstruction: early antenatal ultrasound diagnosis. Pediatr Surg Int. 2000; 16: 342–345.
10. Karacabey N, Sevinç E, Türkuçar S et al. Duodenal web in the differential diagnosis of persistent vomiting and malnutrition. Endoscopy Gastrointestinal. 2013;21:79-81.
11. Kimura K, Loening-Baucke V. Bilious vomiting in the newborn: rapid diagnosis of intestinal obstruction. Am Fam Physician 2000; 61: 2791 – 2798.
12. Dalla Vecchia LK, Grosfeld JL, West KW, et al: Intestinal atresia and stenosis: A 25-year experience with 277 cases. Arch Surg. 1998;133: 490-497.
13. Murshed R, Nicholls G, Spitz L: Intrinsic duodenal obstruction: Trends in management and outcome over 45 years (1951-1995) with relevance to prenatal counselling. Br J Obstet Gynaecol. 1999; 106:1197.
14. Chabra R, Suresh BR, Weinberg G, et al: Duodenal atresia presenting as hematemesis in a premature infant with Down syndrome. J Perinatol. 1992;12:25-27.
15. Arca MJ, Oldham KT. Small and Large Bowel Stenosis and Atresias. In: Wyllie R, Hyams J and Kay M (eds). Pediatric Gastrointestinal and Liver Disease 4th ed. Philadelphia: Saunders Elsevier 2011;598-600.
16. Melek M, Edirne YE. Two cases of duodenal obstruction due to a congenital web. World J Gastroenterol. 2008;14:1305.
17. Mikaelsson C, Arnbjornsson E, Kullendorff C. Membranous duodenal stenosis. Acta Paediatr. 1997;86:953–955.
18. Raske ME, Dempsey ME, Dillman JR. et all. ACR Appropriateness Criteria Vomiting in Infants up to 3 Months of Age. J Am Coll Radiol 2015;12:915-922.
19. Dunn EA, Olsen ØE, Huisman TAGM. The Pediatric Gastrointestinal Tract: What Every Radiologist Needs to Know. 2018 Mar 21. In: Hodler J, Kubik-Huch RA, von Schulthess GK, editors. Diseases of the Abdomen and Pelvis 2018-2021: Diagnostic Imaging - IDKD Book [Internet]. Cham (CH): Springer; 2018. Chapter 15. PMID: 31314361. p 157-166.
20. Oğuz B, Haliloğlu M. Gastrointestinal sistemin konjenital anomalileri. Pediatrik Radyoloji Sempozyumu. 26-27 Aralık, 2009, İzmir.
21. Hernanz-Schulman M. Imaging of neonatal gastrointestinal obstruction. Radiol Clin N Am. 1999;37(6):1163–86.
22. Takeshita T, Nomura Y, Nakamura Y. Antenatal diagnosis of duodenal atresia using ultrasonic scanning. Asia Oceania J Obstet Gynaecol. 1982; 8(3): 269-273.
23. Lim JH. Intestinal obstruction. In: Maconi G, Porro GB, eds. Ultrasound of the gastrointestinal tract. Berlin, Germany: Springer-Verlag, 2007; 27–34.
24. Rosano, N.; Gallo, L.; Mercogliano, G. et al. Ultrasound of Small Bowel Obstruction: A Pictorial Review. Diagnostics. 2021; 11: 617.
25. Berrocal T, Torres I, Gutiérrez J, PrietoC, del Hoyo ML, Lamas M. Congenital Anomalies of the Upper Gastrointestinal Tract. Radiographics. 1999; 19:855-872.
26. Brinkley, M. F., Tracy, E. T., Maxfield, C. M. Congenital duodenal obstruction: causes and imaging approach. Pediatric Radiology 2016; 46:1084–1095.

Year 2022, Volume: 15 Issue: (Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı, 118 - 125, 30.06.2022

Hasibe Gökçe Çınar Yasemin Taşçı Yıldız

Abstract

References

1. Lawrence MJ, Ford WD, Furness ME et al. Congenital duodenal obstruction: early antenatal ultrasound diagnosis. Pediatr Surg Int 2000; 16: 342–345.
2. Bailey PV, Tracy TF Jr., Connors RH et al. Congenital duodenal obstruction: a 32-year review. J Pediatr Surg. 1993; 28: 92–95.
3. Mustafawi AR, Hassan ME. Congenital duodenal obstruction in children: a decade's experience. Eur J Pediatr Surg. 2008; 18: 93–97.
4. Zhang Q, Chen Y, Hou D, Guo W. Analysis of postoperative reoperation for congenital duodenal obstruction. Asian Journal of Surgery. 2005; 28: 16 – 17.
5. Kimble RM, Harding J, Kolbe A. Additional congenital anomalies in babies with gut atresia or stenosis: when to investigate, and which investigation. Pediatr Surg Int. 1997; 12: 565 – 570.
6. Lloyd D, Kenny SE. Congenital anomalies. In: Walker WA, editor. Pediatric gastrointestinal disease. 4th ed. Hamilton, Ontario: BC Becker Inc.; 2004, p. 565e7.
7. Beeks A, Gosche J, Giles H. et al. Endoscopic dilatation and partial resection of a duodenal web in an infant. J Pediatr Gastroenterol Nutr. 2009;48:378–381.
8. Poddar U, Jain V, Yachha SK, Srivastava A. Congenital duodenal web: successful management with endoscopic dilatation. Endosc Int Open. 2016;4(3): E238-E241.
9. Lawrence MJ, Ford WD, Furness ME et al. Congenital duodenal obstruction: early antenatal ultrasound diagnosis. Pediatr Surg Int. 2000; 16: 342–345.
10. Karacabey N, Sevinç E, Türkuçar S et al. Duodenal web in the differential diagnosis of persistent vomiting and malnutrition. Endoscopy Gastrointestinal. 2013;21:79-81.
11. Kimura K, Loening-Baucke V. Bilious vomiting in the newborn: rapid diagnosis of intestinal obstruction. Am Fam Physician 2000; 61: 2791 – 2798.
12. Dalla Vecchia LK, Grosfeld JL, West KW, et al: Intestinal atresia and stenosis: A 25-year experience with 277 cases. Arch Surg. 1998;133: 490-497.
13. Murshed R, Nicholls G, Spitz L: Intrinsic duodenal obstruction: Trends in management and outcome over 45 years (1951-1995) with relevance to prenatal counselling. Br J Obstet Gynaecol. 1999; 106:1197.
14. Chabra R, Suresh BR, Weinberg G, et al: Duodenal atresia presenting as hematemesis in a premature infant with Down syndrome. J Perinatol. 1992;12:25-27.
15. Arca MJ, Oldham KT. Small and Large Bowel Stenosis and Atresias. In: Wyllie R, Hyams J and Kay M (eds). Pediatric Gastrointestinal and Liver Disease 4th ed. Philadelphia: Saunders Elsevier 2011;598-600.
16. Melek M, Edirne YE. Two cases of duodenal obstruction due to a congenital web. World J Gastroenterol. 2008;14:1305.
17. Mikaelsson C, Arnbjornsson E, Kullendorff C. Membranous duodenal stenosis. Acta Paediatr. 1997;86:953–955.
18. Raske ME, Dempsey ME, Dillman JR. et all. ACR Appropriateness Criteria Vomiting in Infants up to 3 Months of Age. J Am Coll Radiol 2015;12:915-922.
19. Dunn EA, Olsen ØE, Huisman TAGM. The Pediatric Gastrointestinal Tract: What Every Radiologist Needs to Know. 2018 Mar 21. In: Hodler J, Kubik-Huch RA, von Schulthess GK, editors. Diseases of the Abdomen and Pelvis 2018-2021: Diagnostic Imaging - IDKD Book [Internet]. Cham (CH): Springer; 2018. Chapter 15. PMID: 31314361. p 157-166.
20. Oğuz B, Haliloğlu M. Gastrointestinal sistemin konjenital anomalileri. Pediatrik Radyoloji Sempozyumu. 26-27 Aralık, 2009, İzmir.
21. Hernanz-Schulman M. Imaging of neonatal gastrointestinal obstruction. Radiol Clin N Am. 1999;37(6):1163–86.
22. Takeshita T, Nomura Y, Nakamura Y. Antenatal diagnosis of duodenal atresia using ultrasonic scanning. Asia Oceania J Obstet Gynaecol. 1982; 8(3): 269-273.
23. Lim JH. Intestinal obstruction. In: Maconi G, Porro GB, eds. Ultrasound of the gastrointestinal tract. Berlin, Germany: Springer-Verlag, 2007; 27–34.
24. Rosano, N.; Gallo, L.; Mercogliano, G. et al. Ultrasound of Small Bowel Obstruction: A Pictorial Review. Diagnostics. 2021; 11: 617.
25. Berrocal T, Torres I, Gutiérrez J, PrietoC, del Hoyo ML, Lamas M. Congenital Anomalies of the Upper Gastrointestinal Tract. Radiographics. 1999; 19:855-872.
26. Brinkley, M. F., Tracy, E. T., Maxfield, C. M. Congenital duodenal obstruction: causes and imaging approach. Pediatric Radiology 2016; 46:1084–1095.

There are 26 citations in total.

Details

Primary Language	Turkish
Subjects	Health Care Administration
Journal Section	Sözlü Bildiriler
Authors	Hasibe Gökçe Çınar This is me Yasemin Taşçı Yıldız This is me
Publication Date	June 30, 2022
Submission Date	February 11, 2022
Acceptance Date	March 10, 2022
Published in Issue	Year 2022 Volume: 15 Issue: (Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı

Cite

APA	Çınar, H. G., & Taşçı Yıldız, Y. (2022). Konjenital duodenal weblerde radyolojik bulgular. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 15((Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı), 118-125.
AMA	Çınar HG, Taşçı Yıldız Y. Konjenital duodenal weblerde radyolojik bulgular. Mersin Univ Saglık Bilim derg. June 2022;15((Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı):118-125.
Chicago	Çınar, Hasibe Gökçe, and Yasemin Taşçı Yıldız. “Konjenital Duodenal Weblerde Radyolojik Bulgular”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 15, no. (Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı (June 2022): 118-25.
EndNote	Çınar HG, Taşçı Yıldız Y (June 1, 2022) Konjenital duodenal weblerde radyolojik bulgular. Mersin Üniversitesi Sağlık Bilimleri Dergisi 15 (Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı 118–125.
IEEE	H. G. Çınar and Y. Taşçı Yıldız, “Konjenital duodenal weblerde radyolojik bulgular”, Mersin Univ Saglık Bilim derg, vol. 15, no. (Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı, pp. 118–125, 2022.
ISNAD	Çınar, Hasibe Gökçe - Taşçı Yıldız, Yasemin. “Konjenital Duodenal Weblerde Radyolojik Bulgular”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 15/(Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı (June 2022), 118-125.
JAMA	Çınar HG, Taşçı Yıldız Y. Konjenital duodenal weblerde radyolojik bulgular. Mersin Univ Saglık Bilim derg. 2022;15:118–125.
MLA	Çınar, Hasibe Gökçe and Yasemin Taşçı Yıldız. “Konjenital Duodenal Weblerde Radyolojik Bulgular”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, vol. 15, no. (Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı, 2022, pp. 118-25.
Vancouver	Çınar HG, Taşçı Yıldız Y. Konjenital duodenal weblerde radyolojik bulgular. Mersin Univ Saglık Bilim derg. 2022;15((Özel Sayı-1) 21. Mersin Pediatri Günleri Bildiri Kitabı):118-25.

Download Cover Image

Article Files

Full Text

MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.

Publishing in three issues per year (April - August - December), it is a multisectoral refereed scientific journal. In addition to research articles, scientific articles such as reviews, case reports and letters to the editor are published in the journal. Our journal, which has been published via e-mail since its inception, has been published both online and in print. Following the Participation Agreement signed with TÜBİTAK-ULAKBİM Dergi Park in April 2015, it has started to accept and evaluate online publications.

Mersin University Journal of Health Sciences have been indexed by Turkey Citation Index since November 16, 2011.

Mersin University Journal of Health Sciences have been indexed by ULAKBIM Medical Database from the first issue of 2016.

Mersin University Journal of Health Sciences have been indexed by DOAJ since October 02, 2019.

Article Publishing Charge Policy: Our journal has adopted an open access policy and there is no fee for article application, evaluation, and publication in our journal. All the articles published in our journal can be accessed from the Archive free of charge.

15456 15458 15459

This work is licensed with Attribution-NonCommercial 4.0 International.