Congenital Duodenal Obstruction

ABSTRACT

In the neonatal diseases of pediatric surgery, a congenital duodenal obstruction is an important part of congenital disease. Between March 1994 and December 1996, 15 cases of congenital duodenal obstruction were experienced and treated at St. Francisco's General Hospital. The following results were obstained: 1) The types of congenital duodenal obstruction were 5 malrotations, 4 atresia, 3 webs, 2 annular pancreases, and 1 obstruction due to an ectopic pancreas. 2) There were 8 males and 7 females; the male to female ratio was 1.14 : 1. 3) The age on admission was 1 to 7 days in 13 cases (87%), and all cases were admitted within 1 month after birth. 4) The birth weight below 2500 gm in only 2 cases (13%). 5) The main clinical symtom was vomiting (93%). 6) Associated anomalies were found in 11 cases (73.3%): 4 cases of congenital heart disease, 3 of Down's syndrom, 2 of malrotations, 2 of urogenital anmalies, and 1 each of jejunal atresia, midgut volvulus, and polydactyly. 7) Postoperative complications occurred in 4 cases (27%), but there was no deaths.