{"title":"Small bowel duplication cyst in the pediatric population-when to operate?","authors":"Yael Dreznik, Anastasia Almog, Maya Paran, Osnat Konen, Dragan Kravarusic","doi":"10.1007/s00383-024-05959-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>AIM: The aim of the study is to determine the optimal timing for surgery in patients with small bowel duplications.</p><p><strong>Methods: </strong>A retrospective cohort study, including all patients younger than 18 years who were diagnosed with small bowel duplications from 2013 until 2024 in a single tertiary medical center, was performed. Patients' demographics, duplication size and location, pathological results, and clinical outcomes were collected.</p><p><strong>Results: </strong>Sixteen patients (nine boys, seven girls) underwent laparoscopic-assisted resection of small bowel duplication at an average age of 3 years. A prenatal diagnosis was made in 11 patients, 10 (91%) of whom underwent elective surgery at a median age of 1.3 years. Overall, six patients required semi-elective or urgent surgery due to bowel obstruction, abdominal discomfort, or symptomatic anemia, with most (83%) lacking prenatal evaluation. Elective surgery patients had significantly smaller duplications (13 cm<sup>3</sup> vs. 135 cm<sup>3</sup>). Post-operative recovery was satisfactory in all patients, with an average hospital stay of 6 days.</p><p><strong>Conclusion: </strong>In conclusion, asymptomatic, small duplication cysts in the small bowel of pediatric patients can be managed expectantly and can be operated after the first year of age. This approach is safe and allows for laparoscopic exploration in older infants, yielding satisfactory outcomes.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"56"},"PeriodicalIF":1.5000,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698872/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Surgery International","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00383-024-05959-8","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: AIM: The aim of the study is to determine the optimal timing for surgery in patients with small bowel duplications.
Methods: A retrospective cohort study, including all patients younger than 18 years who were diagnosed with small bowel duplications from 2013 until 2024 in a single tertiary medical center, was performed. Patients' demographics, duplication size and location, pathological results, and clinical outcomes were collected.
Results: Sixteen patients (nine boys, seven girls) underwent laparoscopic-assisted resection of small bowel duplication at an average age of 3 years. A prenatal diagnosis was made in 11 patients, 10 (91%) of whom underwent elective surgery at a median age of 1.3 years. Overall, six patients required semi-elective or urgent surgery due to bowel obstruction, abdominal discomfort, or symptomatic anemia, with most (83%) lacking prenatal evaluation. Elective surgery patients had significantly smaller duplications (13 cm3 vs. 135 cm3). Post-operative recovery was satisfactory in all patients, with an average hospital stay of 6 days.
Conclusion: In conclusion, asymptomatic, small duplication cysts in the small bowel of pediatric patients can be managed expectantly and can be operated after the first year of age. This approach is safe and allows for laparoscopic exploration in older infants, yielding satisfactory outcomes.
目的：该研究的目的是确定小肠重复患者的最佳手术时机。方法：回顾性队列研究，纳入2013年至2024年在单一三级医疗中心诊断为小肠重复的所有年龄小于18岁的患者。收集患者的人口统计学、重复大小和位置、病理结果和临床结果。结果：16例患者（男孩9例，女孩7例）接受腹腔镜辅助小肠重复切除术，平均年龄3岁。11例患者进行了产前诊断，其中10例（91%）在中位年龄1.3岁时接受了择期手术。总体而言，6名患者因肠梗阻、腹部不适或症状性贫血而需要半选择性或紧急手术，其中大多数（83%）缺乏产前评估。择期手术患者的重复次数明显较少（13 cm3 vs. 135 cm3）。所有患者术后恢复满意，平均住院时间为6天。结论：小儿无症状的小肠小重复囊肿是可预期治疗的，1岁后可进行手术治疗。这种方法是安全的，并且允许在较大的婴儿中进行腹腔镜探查，产生令人满意的结果。
期刊介绍：
Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children.
The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include:
-Review articles-
Original articles-
Technical innovations-
Letters to the editor
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