Congenital intrinsic duodenal obstruction: A twenty-year review of its surgical management and consequences

Abstract

<h2>Summary</h2> We have presented our findings in 158 cases of congenital intrinsic duodenal obstruction seen at the Hospital for Sick Children, Toronto, between 1952 and 1971. Of the 120 undergoing operation, the survival was 67%. The frequency of associated anomalies, especially those involving the esophagus, kidney, and anorectum, was high. Vomiting in the newborn demands early investigation of the alimentary tract, in particular, a plain film or gastrointestinal series, so that these children will be seen and operated on early with the best chance for survival. The etiology of the obstruction may vary from pure atresia to anomalous portal structure, and the possibility of an additional lesion in the duodenum with malrotation and bands must always be kept in mind. Low birth weight and associated anomalies continue to keep the mortality high and present a further challenge to the pediatric surgeon in dealing with these interesting problems.