Abstract
Diagnosis and Treatment of Gastric Duplication in Neonates-A Case Report and Review of the Literature
Highlights
Gastric duplication is a rare condition [1,2,3] accounting for approximately 7% of all gastrointestinal duplication cysts
Not all gastric duplications are accompanied by obvious clinical symptoms that can be detected
Gastric duplication is a rare digestive tract malformation; an increasing number of cases have been diagnosed using innovative technologies, which has even made a diagnosis in the fetal period possible
Summary
Gastric duplication is a rare digestive tract malformation; an increasing number of cases have been diagnosed using innovative technologies, which has even made a diagnosis in the fetal period possible. The typical clinical features of the disease include a cystic mass in the upper abdomen, vomiting, and fever, which have been discussed in many case reports. Gastric duplication has a possibility of malignant transformation [11]. Children with clinical symptoms should undergo surgical treatment. Surgical treatments can be delayed for asymptomatic gastric duplication in neonates, a chance of malignant transformation is noted, and neonates should undergo regular follow-up and elective surgical treatments [2829]. Laboratory and radiographic factors should all be considered when making a decision regarding treatment for gastric duplication. Based on our summary of reports in the literature (Table 1), four clinical features- abdominal distension, abdominal pain, fever, and a history of vomiting-are predictive of the need for operative intervention during the patient’s hospital stay and should be weighted heavily in the decision-making algorithm for operative versus non-operative treatment
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