Abstract
Objective To explore the clinical manifestations and managements of gastric duplication so as to improve its diagnosis and treatment. Methods Four pediatric patients of gastric duplication hospitalized at Children's Hospital of Zhejiang University between March 2010 and March 2015 were recruited. Diagnosis could not be confirmed by clinical manifestations, ultrasonography and computed tomography. But confirmation might be made by laparoscopic exploration and laparotomy and resections performed according to its types. Results The procedures included laparoscopy-assisted pull-out resection through umbilical hole (n=2), total laparoscopic resection (n=1) and laparoscopy plus laparotomy (n=1). Surgical operations were performed smoothly. No postoperative complications occurred. The preoperative symptoms disappeared completely and all patients recovered well during the follow-up periods of 1 month, 1 year and 3 years. Conclusions The preoperative diagnosis of gastric duplication has remained problematic. Laparotomy is an effective diagnostic tool. And laparoscopy-assisted resection or total laparoscopic resection is preferred for uncomplicated gastric duplication while simple excision may be efficacious. Key words: Stomach, abnormalities; Laparoscopy
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