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Congenital pyloric atresia in siblings
452
ABSTRACTS
with esophageal varices, who failed to thrive and in whom hemorrhage was likely to recur.+. R. Solomon Congenital Kim-Leong Arch.
Surg.
Pyloric
Atresia
in
Tan and James 105:100-102
Siblings.
J. Murugasu.
(January),
1973.
Two siblings, one male and one female, born 3 yr apart, suffered pyloric atresia. One died with gastric perforation but the other survived side-to-side gastroduodenostomy.-Edward I. Berman
to’rupture of an abdominal aortic aneurysm. This is a report of a case of massive gastrointestinal hemorrhage due to a right common iliac artery-duodenal fistula in an 18-mo-old infant resulting from a foreign body (whiskbroom bristle) perforation of duodenum. Management recommended : (I) control of hemorrhage by proximal aortic control and separation of bowel loop from vessel; (2) closure of intestinal fistula; and (3) suture ligation of involved vessel. -Frank Duodenal
Duodenal Ulcer in Children. J. D. A. Robb, P. S. Thomas, J. Orszulok, and G. W. Odting-Smee. 696 (October),
Arch. Dis. 1972.
Child.
47:688-
cases of duodenal ulcer in children collected over a lo-yr-period in Belfast are reported. There were 37 males and 12 females. Age at diagnosis varied from the neonatal period (two autopsy cases) to 12 yr of age. Diagnosis was made by radiologic examination in 46, at laparotomy in one, and at necropsy in two. Subsequent radiologic examination was carried out in 28; in ten the ulcer status was worse and in 13 the ulcer status was improved at the subsequent examination. Intermittent abdominal pain was the most common symptom. In 0nIy 12 cases was the pain relieved by eating and in 17 it was aggravated by eating. There was a significant increase in peptic ulceration in the the parents. Emotional stress was considered to be significant. Gastric acidity was not signiBcantIy raised nor was maximal acid output. Only two cases were subjected to the operation of vagotomy and pyloroplasty, and this was considered to have improved both children, Appendicectomy had been performed in four children in the hope of alleviating the undiagnosed abdominal pain and this was without effect. --D. G. Young Forty-nine
Obstruction
G. DeLuca
by the Superior
Me-
senteric Artery in Children. E. R. Wayne and John D. Burrington. Surgery 72:782768 (November), 1972.
Reports of seven patients with duodenal obstruction due to extrinsic pressure by the superior mesenteric artery are presented. Such duodenal obstructions occur in the first few months of life, but most commonly in adolescents in whom rapid growth without weight gain or with weight loss has occurred. Plain roentgen examination of the abdomen is often diagnostic with contrast material used to confirm the roentgen diagnosis. Although the obstruction may be complete, barium usually passes with the patient positioned onto his left side or face down. All but one of these patients were operated upon. The procedure consisted of compIete lysis of the ligament of Treitz, mobilization of the right colon and duodenum, and repositioning of the duodenum and jejunum from beneath the widely mobilized superior mesenteric artery to the right lateral gutter of the abdomen. Relief of the obstruction was prompt and thus lasting. Duodenojejunostomy and simple lowering of the duodenum by dividing the ligament of Treitz are less effective procedures--Wilfiam K. Sieber
Right Iliac
Superior Mesenteric Artery Syndrome. J. R. Oliveira, C. R. Pinto, J. G. Afonso, and A. Gargatb. Rev. Port. Pediat. 3:184-198, 1972.
Arterial-enteric Bstula as a cause of massive gastrointestinal bleeding is usually due
The authors present a case of superior mesenteric artery syndrome, with a huge dilatation of the duodenum and a perforated duodenal ulcer, covered by the liver, in a girl aged 8 yr. They consider the cause of the duodenal obstruction to be the fixation
Artery-Duodenal Fistula in Infancy: Massive Hemorrhage Due to “Whisk Broom“ Bristle Perforation. J. f-. Grosfeld and K. Eng. Ann. Surg. 176:761 (December), 1972.
ABSTRACTS
with esophageal varices, who failed to thrive and in whom hemorrhage was likely to recur.+. R. Solomon Congenital Kim-Leong Arch.
Surg.
Pyloric
Atresia
in
Tan and James 105:100-102
Siblings.
J. Murugasu.
(January),
1973.
Two siblings, one male and one female, born 3 yr apart, suffered pyloric atresia. One died with gastric perforation but the other survived side-to-side gastroduodenostomy.-Edward I. Berman
to’rupture of an abdominal aortic aneurysm. This is a report of a case of massive gastrointestinal hemorrhage due to a right common iliac artery-duodenal fistula in an 18-mo-old infant resulting from a foreign body (whiskbroom bristle) perforation of duodenum. Management recommended : (I) control of hemorrhage by proximal aortic control and separation of bowel loop from vessel; (2) closure of intestinal fistula; and (3) suture ligation of involved vessel. -Frank Duodenal
Duodenal Ulcer in Children. J. D. A. Robb, P. S. Thomas, J. Orszulok, and G. W. Odting-Smee. 696 (October),
Arch. Dis. 1972.
Child.
47:688-
cases of duodenal ulcer in children collected over a lo-yr-period in Belfast are reported. There were 37 males and 12 females. Age at diagnosis varied from the neonatal period (two autopsy cases) to 12 yr of age. Diagnosis was made by radiologic examination in 46, at laparotomy in one, and at necropsy in two. Subsequent radiologic examination was carried out in 28; in ten the ulcer status was worse and in 13 the ulcer status was improved at the subsequent examination. Intermittent abdominal pain was the most common symptom. In 0nIy 12 cases was the pain relieved by eating and in 17 it was aggravated by eating. There was a significant increase in peptic ulceration in the the parents. Emotional stress was considered to be significant. Gastric acidity was not signiBcantIy raised nor was maximal acid output. Only two cases were subjected to the operation of vagotomy and pyloroplasty, and this was considered to have improved both children, Appendicectomy had been performed in four children in the hope of alleviating the undiagnosed abdominal pain and this was without effect. --D. G. Young Forty-nine
Obstruction
G. DeLuca
by the Superior
Me-
senteric Artery in Children. E. R. Wayne and John D. Burrington. Surgery 72:782768 (November), 1972.
Reports of seven patients with duodenal obstruction due to extrinsic pressure by the superior mesenteric artery are presented. Such duodenal obstructions occur in the first few months of life, but most commonly in adolescents in whom rapid growth without weight gain or with weight loss has occurred. Plain roentgen examination of the abdomen is often diagnostic with contrast material used to confirm the roentgen diagnosis. Although the obstruction may be complete, barium usually passes with the patient positioned onto his left side or face down. All but one of these patients were operated upon. The procedure consisted of compIete lysis of the ligament of Treitz, mobilization of the right colon and duodenum, and repositioning of the duodenum and jejunum from beneath the widely mobilized superior mesenteric artery to the right lateral gutter of the abdomen. Relief of the obstruction was prompt and thus lasting. Duodenojejunostomy and simple lowering of the duodenum by dividing the ligament of Treitz are less effective procedures--Wilfiam K. Sieber
Right Iliac
Superior Mesenteric Artery Syndrome. J. R. Oliveira, C. R. Pinto, J. G. Afonso, and A. Gargatb. Rev. Port. Pediat. 3:184-198, 1972.
Arterial-enteric Bstula as a cause of massive gastrointestinal bleeding is usually due
The authors present a case of superior mesenteric artery syndrome, with a huge dilatation of the duodenum and a perforated duodenal ulcer, covered by the liver, in a girl aged 8 yr. They consider the cause of the duodenal obstruction to be the fixation
Artery-Duodenal Fistula in Infancy: Massive Hemorrhage Due to “Whisk Broom“ Bristle Perforation. J. f-. Grosfeld and K. Eng. Ann. Surg. 176:761 (December), 1972.