The Modified Kimura's Technique for the Treatment of Duodenal Atresia
Background/Purpose. Kimura's diamond-shaped-duodenoduodenostomy (DSD) is a known technique for the correction of congenital intrinsic duodenal obstruction. We present a modification of the technique and review the advantages of this new technique. Methods. From 1992 to 2006, 14 newborns were tr...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2009/175963 |
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| author | Biagio Zuccarello Antonella Spada Antonio Centorrino Nunzio Turiaco Maria Rosaria Chirico Saveria Parisi |
| author_facet | Biagio Zuccarello Antonella Spada Antonio Centorrino Nunzio Turiaco Maria Rosaria Chirico Saveria Parisi |
| author_sort | Biagio Zuccarello |
| collection | DOAJ |
| description | Background/Purpose. Kimura's diamond-shaped-duodenoduodenostomy (DSD) is a known technique for the correction of congenital intrinsic duodenal obstruction. We present a modification of the technique and review the advantages of this new technique. Methods. From 1992 to 2006, 14 newborns were treated for duodenal atresia. We inverted the direction of the duodenal incisions: a longitudinal incision was made in the proximal duodenum while the distal was opened by transverse incision. Results. Our “inverted-diamond-shaped-duodenoduodenostomy” (i-DSD) allowed postoperative oral feeding to start on days 2 to 3, peripheral intravenous fluids discontinuity on days 3 to 8 (median values 3.6); time to achieve full oral feeds on days 8 to 12 (median values 9.4); the length of hospitalisation ranged from 10 and 14 days (median value 11.2). No complications related to the anastomosis, by Viz leakage, dehiscence, biliary stasis, or stenosis were observed. Conclusions. The i-DSD provides a safe procedure to protect the ampulla of Vater from injury and avoids any formation of a blind loop. The results show that patients who have i-DSD achieve full oral feeds in a very short time period and, consequently, the length of hospitalisation is also significantly reduced. |
| format | Article |
| id | doaj-art-3b1f978b44a24a419c4282a6cfd9ccd4 |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-3b1f978b44a24a419c4282a6cfd9ccd42025-02-03T07:26:15ZengWileyInternational Journal of Pediatrics1687-97401687-97592009-01-01200910.1155/2009/175963175963The Modified Kimura's Technique for the Treatment of Duodenal AtresiaBiagio Zuccarello0Antonella Spada1Antonio Centorrino2Nunzio Turiaco3Maria Rosaria Chirico4Saveria Parisi5Pediatric and Neonatal Surgery Unit, Department of Medical and Surgical Pediatrics, University of Messina, Policlinico Universitario G. Martino, Viale Gazzi 1, 98100 Messina, ItalyDepartment of Anesthesiology and Intensive Care, University of Messina, 98100 Messina, ItalyPediatric and Neonatal Surgery Unit, Department of Medical and Surgical Pediatrics, University of Messina, Policlinico Universitario G. Martino, Viale Gazzi 1, 98100 Messina, ItalyPediatric and Neonatal Surgery Unit, Department of Medical and Surgical Pediatrics, University of Messina, Policlinico Universitario G. Martino, Viale Gazzi 1, 98100 Messina, ItalyPediatric and Neonatal Surgery Unit, Department of Medical and Surgical Pediatrics, University of Messina, Policlinico Universitario G. Martino, Viale Gazzi 1, 98100 Messina, ItalyPediatric and Neonatal Surgery Unit, Department of Medical and Surgical Pediatrics, University of Messina, Policlinico Universitario G. Martino, Viale Gazzi 1, 98100 Messina, ItalyBackground/Purpose. Kimura's diamond-shaped-duodenoduodenostomy (DSD) is a known technique for the correction of congenital intrinsic duodenal obstruction. We present a modification of the technique and review the advantages of this new technique. Methods. From 1992 to 2006, 14 newborns were treated for duodenal atresia. We inverted the direction of the duodenal incisions: a longitudinal incision was made in the proximal duodenum while the distal was opened by transverse incision. Results. Our “inverted-diamond-shaped-duodenoduodenostomy” (i-DSD) allowed postoperative oral feeding to start on days 2 to 3, peripheral intravenous fluids discontinuity on days 3 to 8 (median values 3.6); time to achieve full oral feeds on days 8 to 12 (median values 9.4); the length of hospitalisation ranged from 10 and 14 days (median value 11.2). No complications related to the anastomosis, by Viz leakage, dehiscence, biliary stasis, or stenosis were observed. Conclusions. The i-DSD provides a safe procedure to protect the ampulla of Vater from injury and avoids any formation of a blind loop. The results show that patients who have i-DSD achieve full oral feeds in a very short time period and, consequently, the length of hospitalisation is also significantly reduced.http://dx.doi.org/10.1155/2009/175963 |
| spellingShingle | Biagio Zuccarello Antonella Spada Antonio Centorrino Nunzio Turiaco Maria Rosaria Chirico Saveria Parisi The Modified Kimura's Technique for the Treatment of Duodenal Atresia International Journal of Pediatrics |
| title | The Modified Kimura's Technique for the Treatment of Duodenal Atresia |
| title_full | The Modified Kimura's Technique for the Treatment of Duodenal Atresia |
| title_fullStr | The Modified Kimura's Technique for the Treatment of Duodenal Atresia |
| title_full_unstemmed | The Modified Kimura's Technique for the Treatment of Duodenal Atresia |
| title_short | The Modified Kimura's Technique for the Treatment of Duodenal Atresia |
| title_sort | modified kimura s technique for the treatment of duodenal atresia |
| url | http://dx.doi.org/10.1155/2009/175963 |
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