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Duodenal Atresia
Karen Y. Oh, MD; Paula J. Woodward, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Congenital duodenal obstruction more inclusive term
                  • Includes duodenal atresia (DA), stenosis, web, or annular pancreas
              • Definitions

                • Lack of normal duodenal canalization leading to partial (web/stenosis) or complete (atresia) obstruction

              IMAGING

              • General Features

                • Ultrasonographic Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Parmentier B et al: Laparoscopic management of congenital duodenal atresia or stenosis: A single-center early experience. J Pediatr Surg. 50(11):1833-6, 2015
                                          2. Stoll C et al: Associated congenital anomalies among cases with Down syndrome. Eur J Med Genet. 58(12):674-80, 2015
                                          3. Adams SD et al: Malrotation and intestinal atresias. Early Hum Dev. 90(12):921-5, 2014
                                          4. Chen QJ et al: Congenital duodenal obstruction in neonates: a decade's experience from one center. World J Pediatr. 10(3):238-44, 2014
                                          5. Burjonrappa SC et al: The role of amniotic fluid in influencing neonatal birth weight. J Perinatol. 30(1):27-9, 2010
                                          6. Kozlov Y et al: Keyhole approach for repair of congenital duodenal obstruction. Eur J Pediatr Surg. Epub ahead of print, 2010
                                          7. Choudhry MS et al: Duodenal atresia: associated anomalies, prenatal diagnosis and outcome. Pediatr Surg Int. 25(8):727-30, 2009
                                          8. Kay S et al: Laparoscopic duodenoduodenostomy in the neonate. J Pediatr Surg. 44(5):906-8, 2009
                                          9. Lima M et al: Evolution of the surgical management of bowel atresia in newborn: laparoscopically assisted treatment. Pediatr Med Chir. 31(5):215-9, 2009
                                          10. Mitani Y et al: Prenatal findings of concomitant duodenal and esophageal atresia without tracheoesophageal fistula (Gross type A). J Clin Ultrasound. 37(7):403-5, 2009
                                          11. Calisti A et al: Prenatal diagnosis of duodenal obstruction selects cases with a higher risk of maternal-foetal complications and demands in utero transfer to a tertiary centre. Fetal Diagn Ther. 24(4):478-82, 2008
                                          12. Mustafawi AR et al: Congenital duodenal obstruction in children: a decade's experience. Eur J Pediatr Surg. 18(2):93-7, 2008
                                          13. Hung JH et al: Prenatal diagnosis of double duodenal atresia by ultrasound and magnetic resonance image. Prenat Diagn. 27(4):381-3, 2007
                                          14. Shawis R et al: Prenatal bowel dilatation and the subsequent postnatal management. Early Hum Dev. 82(5):297-303, 2006
                                          15. Marquette GP et al: First-trimester imaging of combined esophageal and duodenal atresia without a tracheoesophageal fistula. J Ultrasound Med. 23(9):1232, 2004
                                          16. Veyrac C et al: MRI of fetal GI tract abnormalities. Abdom Imaging. 29(4):411-20, 2004
                                          17. Brantberg A et al: Fetal duodenal obstructions: increased risk of prenatal sudden death. Ultrasound Obstet Gynecol. 20(5):439-46, 2002
                                          18. Lawrence MJ et al: Congenital duodenal obstruction: early antenatal ultrasound diagnosis. Pediatr Surg Int. 16(5-6):342-5, 2000
                                          19. Pameijer CR et al: Combined pure esophageal atresia, duodenal atresia, biliary atresia, and pancreatic ductal atresia: prenatal diagnostic features and review of the literature. J Pediatr Surg. 35(5):745-7, 2000
                                          20. Murshed R et al: Intrinsic duodenal obstruction: trends in management and outcome over 45 years (1951-1995) with relevance to prenatal counselling. Br J Obstet Gynaecol. 106(11):1197-9, 1999
                                          21. Malone FD et al: Pitfalls of the 'double bubble' sign: a case of congenital duodenal duplication. Fetal Diagn Ther. 12(5):298-300, 1997
                                          22. Estroff JA et al: Second trimester prenatal findings in duodenal and esophageal atresia without tracheoesophageal fistula. J Ultrasound Med. 13(5):375-9, 1994
                                          23. Surana R et al: Small intestinal atresia: effect on fetal nutrition. J Pediatr Surg. 29(9):1250-2, 1994
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Congenital duodenal obstruction more inclusive term
                                                          • Includes duodenal atresia (DA), stenosis, web, or annular pancreas
                                                      • Definitions

                                                        • Lack of normal duodenal canalization leading to partial (web/stenosis) or complete (atresia) obstruction

                                                      IMAGING

                                                      • General Features

                                                        • Ultrasonographic Findings

                                                          • MR Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Staging, Grading, & Classification

                                                                    • Gross Pathologic & Surgical Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Parmentier B et al: Laparoscopic management of congenital duodenal atresia or stenosis: A single-center early experience. J Pediatr Surg. 50(11):1833-6, 2015
                                                                                  2. Stoll C et al: Associated congenital anomalies among cases with Down syndrome. Eur J Med Genet. 58(12):674-80, 2015
                                                                                  3. Adams SD et al: Malrotation and intestinal atresias. Early Hum Dev. 90(12):921-5, 2014
                                                                                  4. Chen QJ et al: Congenital duodenal obstruction in neonates: a decade's experience from one center. World J Pediatr. 10(3):238-44, 2014
                                                                                  5. Burjonrappa SC et al: The role of amniotic fluid in influencing neonatal birth weight. J Perinatol. 30(1):27-9, 2010
                                                                                  6. Kozlov Y et al: Keyhole approach for repair of congenital duodenal obstruction. Eur J Pediatr Surg. Epub ahead of print, 2010
                                                                                  7. Choudhry MS et al: Duodenal atresia: associated anomalies, prenatal diagnosis and outcome. Pediatr Surg Int. 25(8):727-30, 2009
                                                                                  8. Kay S et al: Laparoscopic duodenoduodenostomy in the neonate. J Pediatr Surg. 44(5):906-8, 2009
                                                                                  9. Lima M et al: Evolution of the surgical management of bowel atresia in newborn: laparoscopically assisted treatment. Pediatr Med Chir. 31(5):215-9, 2009
                                                                                  10. Mitani Y et al: Prenatal findings of concomitant duodenal and esophageal atresia without tracheoesophageal fistula (Gross type A). J Clin Ultrasound. 37(7):403-5, 2009
                                                                                  11. Calisti A et al: Prenatal diagnosis of duodenal obstruction selects cases with a higher risk of maternal-foetal complications and demands in utero transfer to a tertiary centre. Fetal Diagn Ther. 24(4):478-82, 2008
                                                                                  12. Mustafawi AR et al: Congenital duodenal obstruction in children: a decade's experience. Eur J Pediatr Surg. 18(2):93-7, 2008
                                                                                  13. Hung JH et al: Prenatal diagnosis of double duodenal atresia by ultrasound and magnetic resonance image. Prenat Diagn. 27(4):381-3, 2007
                                                                                  14. Shawis R et al: Prenatal bowel dilatation and the subsequent postnatal management. Early Hum Dev. 82(5):297-303, 2006
                                                                                  15. Marquette GP et al: First-trimester imaging of combined esophageal and duodenal atresia without a tracheoesophageal fistula. J Ultrasound Med. 23(9):1232, 2004
                                                                                  16. Veyrac C et al: MRI of fetal GI tract abnormalities. Abdom Imaging. 29(4):411-20, 2004
                                                                                  17. Brantberg A et al: Fetal duodenal obstructions: increased risk of prenatal sudden death. Ultrasound Obstet Gynecol. 20(5):439-46, 2002
                                                                                  18. Lawrence MJ et al: Congenital duodenal obstruction: early antenatal ultrasound diagnosis. Pediatr Surg Int. 16(5-6):342-5, 2000
                                                                                  19. Pameijer CR et al: Combined pure esophageal atresia, duodenal atresia, biliary atresia, and pancreatic ductal atresia: prenatal diagnostic features and review of the literature. J Pediatr Surg. 35(5):745-7, 2000
                                                                                  20. Murshed R et al: Intrinsic duodenal obstruction: trends in management and outcome over 45 years (1951-1995) with relevance to prenatal counselling. Br J Obstet Gynaecol. 106(11):1197-9, 1999
                                                                                  21. Malone FD et al: Pitfalls of the 'double bubble' sign: a case of congenital duodenal duplication. Fetal Diagn Ther. 12(5):298-300, 1997
                                                                                  22. Estroff JA et al: Second trimester prenatal findings in duodenal and esophageal atresia without tracheoesophageal fistula. J Ultrasound Med. 13(5):375-9, 1994
                                                                                  23. Surana R et al: Small intestinal atresia: effect on fetal nutrition. J Pediatr Surg. 29(9):1250-2, 1994