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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Fenestrated duodenal membranes: An analysis of symptoms, signs, diagnosis, and treatment
Journal of Pediatric Surgery, Volume 29, No. 3, Year 1994
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Description
Duodenal obstruction typically occurs in the ampullary region and presents in the early neonatal period. If the obstruction is incomplete, as with a fenestrated duodenal membrane, the presentation may be delayed and the diagnosis overlooked. Sixteen patients with fenestrated duodenal membranes presented over a 23-year period. Six presented in the neonatal period, with vomiting; an abdominal x-ray was diagnostic in four. Ten presented later (5 weeks to 14 years) with nonspecific symptoms, ie, failure to thrive, postprandial epigastric distension, and recurrent chest infections. Vomiting occurred in all, but was of short duration (<1 week). Two patients in the delayed group had Down's syndrome. Diagnosis was confirmed on barium meal, and optimal surgical treatment was a bypass duodeno-duodenostomy. The diagnosis of fenestrated duodenal membrane must be considered in all cases with symptoms and signs suggestive of upper gastrointestinal tract obstruction, and excluded by contrast radiology. © 1994.
Authors & Co-Authors
Brown, Robin Alexander
South Africa, Cape Town
Red Cross War Memorial Children's Hospital
Millar, Allistair John Ward
South Africa, Cape Town
Red Cross War Memorial Children's Hospital
Linegar, Anthony G.
South Africa, Cape Town
Red Cross War Memorial Children's Hospital
Moore, Samuel W.
South Africa, Cape Town
Red Cross War Memorial Children's Hospital
Cywes, Sidney
South Africa, Cape Town
Red Cross War Memorial Children's Hospital
Statistics
Citations: 5
Authors: 5
Affiliations: 1
Identifiers
Doi:
10.1016/0022-3468(94)90585-1
ISSN:
00223468
Research Areas
Health System And Policy
Maternal And Child Health