The Modified Kimura's Technique for the Treatment of Duodenal Atresia
Joint Authors
Spada, Antonella
Chirico, Maria Rosaria
Parisi, Saveria
Zuccarello, Biagio
Centorrino, Antonio
Turiaco, Nunzio
Source
International Journal of Pediatrics
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-06-04
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Zuccarello, Biagio& Spada, Antonella& Centorrino, Antonio& Turiaco, Nunzio& Chirico, Maria Rosaria& Parisi, Saveria. 2009. The Modified Kimura's Technique for the Treatment of Duodenal Atresia. International Journal of Pediatrics،Vol. 2009, no. 2009, pp.1-5.
https://search.emarefa.net/detail/BIM-451998
Modern Language Association (MLA)
Zuccarello, Biagio…[et al.]. The Modified Kimura's Technique for the Treatment of Duodenal Atresia. International Journal of Pediatrics No. 2009 (2009), pp.1-5.
https://search.emarefa.net/detail/BIM-451998
American Medical Association (AMA)
Zuccarello, Biagio& Spada, Antonella& Centorrino, Antonio& Turiaco, Nunzio& Chirico, Maria Rosaria& Parisi, Saveria. The Modified Kimura's Technique for the Treatment of Duodenal Atresia. International Journal of Pediatrics. 2009. Vol. 2009, no. 2009, pp.1-5.
https://search.emarefa.net/detail/BIM-451998
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-451998