Alimentary tract duplications are rare congenital lesions normally diagnosed in newborns and children that can occur anywhere from the mouth to the anus and have a reported incidence of approximately 1 in 4500 life bi...Alimentary tract duplications are rare congenital lesions normally diagnosed in newborns and children that can occur anywhere from the mouth to the anus and have a reported incidence of approximately 1 in 4500 life births. Symptoms and clinical presentation vary greatly. The presentation varies according to age and location. The treatment finally is surgical; total resection when possible should be the aim of the intervention. In pediatric surgery minimally invasive surgical procedures became more and more important over the last decades. In consequence the operative procedure on alimentary tract duplications changed in this manner. We review on case reports and clinical reports on minimally invasive surgery in the treatment of alimentary tract duplications, determine the importance of minimally invasive techniques in the treatment of this rare entity and rule out that further studies in the field should be performed.展开更多
58 children with gastrointestinal bleeding were examined for ectopic gastric mucosa with 99m Tc-pertechnetate. 25 cases who had abnormal uptake in 1 hour were diagnosed positive and among them 17 cases were operated o...58 children with gastrointestinal bleeding were examined for ectopic gastric mucosa with 99m Tc-pertechnetate. 25 cases who had abnormal uptake in 1 hour were diagnosed positive and among them 17 cases were operated on and final pathology diagnoses were made- The results showed that 5cases were Meckel's diverticulum, 8 alimentary duplication aberrations and 4 false positive inclusive of 1 enteric hemangioma and 1 enteric telangiectasia. From the results, duplications were more than Meckel's diverticulum which contained gastric mucosa. False positive can be avoided by using the early uptake phase and twice image in the first hour as diagnostic standard except enteric hemangioma and enteric teiangiectasia.展开更多
文摘Alimentary tract duplications are rare congenital lesions normally diagnosed in newborns and children that can occur anywhere from the mouth to the anus and have a reported incidence of approximately 1 in 4500 life births. Symptoms and clinical presentation vary greatly. The presentation varies according to age and location. The treatment finally is surgical; total resection when possible should be the aim of the intervention. In pediatric surgery minimally invasive surgical procedures became more and more important over the last decades. In consequence the operative procedure on alimentary tract duplications changed in this manner. We review on case reports and clinical reports on minimally invasive surgery in the treatment of alimentary tract duplications, determine the importance of minimally invasive techniques in the treatment of this rare entity and rule out that further studies in the field should be performed.
文摘58 children with gastrointestinal bleeding were examined for ectopic gastric mucosa with 99m Tc-pertechnetate. 25 cases who had abnormal uptake in 1 hour were diagnosed positive and among them 17 cases were operated on and final pathology diagnoses were made- The results showed that 5cases were Meckel's diverticulum, 8 alimentary duplication aberrations and 4 false positive inclusive of 1 enteric hemangioma and 1 enteric telangiectasia. From the results, duplications were more than Meckel's diverticulum which contained gastric mucosa. False positive can be avoided by using the early uptake phase and twice image in the first hour as diagnostic standard except enteric hemangioma and enteric teiangiectasia.
