Duodenal atresia - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T22:49:59Z

Prepared the page for translation

← Older revision		Revision as of 22:49, 4 January 2026
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			<languages/>
			<translate>

	==Background==		==Background==

	*During weeks 6 and 7 of gestation, the GI tract becomes occluded then recanalizes during weeks 8 to 10		*During weeks 6 and 7 of gestation, the GI tract becomes occluded then recanalizes during weeks 8 to 10
	*Duodenal atresia is thought to result from failure of recanalization		*Duodenal atresia is thought to result from failure of recanalization
	*Often associated with other malformations such as [[biliary atresia]] or gallbladder agenesis		*Often associated with other malformations such as [[Special:MyLanguage/biliary atresia\|biliary atresia]] or gallbladder agenesis
	*May also be associated with cardiac, renal, or vertebral abnormalities		*May also be associated with cardiac, renal, or vertebral abnormalities
	*About a quarter of patients born with duodenal atresia have [[Down syndrome]]		*About a quarter of patients born with duodenal atresia have [[Special:MyLanguage/Down syndrome\|Down syndrome]]


	==Clinical Features==		==Clinical Features==

	''Presentation is very early in the postnatal period''		''Presentation is very early in the postnatal period''
	*Abdominal distention and bilious [[vomiting\|emesis]] within first 24 hours of birth		*Abdominal distention and bilious [[Special:MyLanguage/vomiting\|emesis]] within first 24 hours of birth
	**Abdomen often markedly distended, with visible or palpable loops of bowel		**Abdomen often markedly distended, with visible or palpable loops of bowel
	**[[NG tube]] aspirate >20 mL		**[[Special:MyLanguage/NG tube\|NG tube]] aspirate >20 mL
	*Signs of [[dehydration (peds)\|dehydration]] (e.g. dry mucous membranes, poor skin turgor, and sunken fontanelle)		*Signs of [[Special:MyLanguage/dehydration (peds)\|dehydration]] (e.g. dry mucous membranes, poor skin turgor, and sunken fontanelle)
	*+/- Signs of other congenital anomalies		*+/- Signs of other congenital anomalies


	==Differential Diagnosis==		==Differential Diagnosis==
	*Malrotation with [[volvulus (peds)\|volvulus]]
	*[[Hirschsprung's disease]]		*Malrotation with [[Special:MyLanguage/volvulus (peds)\|volvulus]]
	*Meconium [[ileus]]		*[[Special:MyLanguage/Hirschsprung's disease\|Hirschsprung's disease]]
			*Meconium [[Special:MyLanguage/ileus\|ileus]]
	*Other intestinal atresia		*Other intestinal atresia

			</translate>
	{{N/v peds newborn}}		{{N/v peds newborn}}
			<translate>


	==Evaluation==		==Evaluation==

	[[File:DuodenalAtresiaXR.png\|thumb\|Double Bubble sign]]		[[File:DuodenalAtresiaXR.png\|thumb\|Double Bubble sign]]
	*Imaging		*Imaging
	**AP, lateral, and cross table [[KUB\|XR]] should be obtained on all infants with concern for obstruction		**AP, lateral, and cross table [[Special:MyLanguage/KUB\|XR]] should be obtained on all infants with concern for obstruction
	**Classic double bubble sign due to dilation of the stomach and proximal duodenum		**Classic double bubble sign due to dilation of the stomach and proximal duodenum
	**Absent distal gas		**Absent distal gas


	==Management==		==Management==

	*NPO		*NPO
	*[[NG tube]] to suction		*[[Special:MyLanguage/NG tube\|NG tube]] to suction
	*Correct [[IVF\|fluid]] and [[electrolyte abnormalities]]		*Correct [[Special:MyLanguage/IVF\|fluid]] and [[Special:MyLanguage/electrolyte abnormalities\|electrolyte abnormalities]]
	*[[Ampicillin]] and [[gentamicin]] (to prevent post-op infection)		*[[Special:MyLanguage/Ampicillin\|Ampicillin]] and [[Special:MyLanguage/gentamicin\|gentamicin]] (to prevent post-op infection)
	*Surgery		*Surgery


	==Disposition==		==Disposition==

	*Admission		*Admission


	==References==		==References==

	<references/>		<references/>
	[[Category:GI]]		[[Category:GI]]
	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Surgery]]		[[Category:Surgery]]
			</translate>

ClaireLewis: /* Evaluation */

2019-10-28T16:30:16Z

Evaluation

← Older revision		Revision as of 16:30, 28 October 2019
Line 23:		Line 23:

	==Evaluation==		==Evaluation==
			[[File:DuodenalAtresiaXR.png\|thumb\|Double Bubble sign]]
	*Imaging		*Imaging
	**AP, lateral, and cross table [[KUB\|XR]] should be obtained on all infants with concern for obstruction		**AP, lateral, and cross table [[KUB\|XR]] should be obtained on all infants with concern for obstruction

ClaireLewis at 20:25, 29 September 2019

2019-09-29T20:25:01Z

← Older revision		Revision as of 20:25, 29 September 2019
Line 10:		Line 10:
	*Abdominal distention and bilious [[vomiting\|emesis]] within first 24 hours of birth		*Abdominal distention and bilious [[vomiting\|emesis]] within first 24 hours of birth
	**Abdomen often markedly distended, with visible or palpable loops of bowel		**Abdomen often markedly distended, with visible or palpable loops of bowel
	**NG tube aspirate >20 mL		**[[NG tube]] aspirate >20 mL
	*Signs of [[dehydration (peds)\|dehydration]] (e.g. dry mucous membranes, poor skin turgor, and sunken fontanelle)		*Signs of [[dehydration (peds)\|dehydration]] (e.g. dry mucous membranes, poor skin turgor, and sunken fontanelle)
	*+/- Signs of other congenital anomalies		*+/- Signs of other congenital anomalies
Line 24:		Line 24:
	==Evaluation==		==Evaluation==
	*Imaging		*Imaging
	**AP, lateral, and cross table XR should be obtained on all infants with concern for obstruction		**AP, lateral, and cross table [[KUB\|XR]] should be obtained on all infants with concern for obstruction
	**Classic double bubble sign due to dilation of the stomach and proximal duodenum		**Classic double bubble sign due to dilation of the stomach and proximal duodenum
	**Absent distal gas		**Absent distal gas
Line 30:		Line 30:
	==Management==		==Management==
	*NPO		*NPO
	*NG tube to suction		*[[NG tube]] to suction
	*Correct fluid and [[electrolyte abnormalities]]		*Correct [[IVF\|fluid]] and [[electrolyte abnormalities]]
	*[[Ampicillin]] and [[gentamicin]] (to prevent post-op infection)		*[[Ampicillin]] and [[gentamicin]] (to prevent post-op infection)
	*Surgery		*Surgery
Line 42:		Line 42:
	[[Category:GI]]		[[Category:GI]]
	[[Category:Pediatrics]]		[[Category:Pediatrics]]
			[[Category:Surgery]]

ClaireLewis: /* Background */

2019-09-14T19:12:08Z

Background

← Older revision		Revision as of 19:12, 14 September 2019
Line 4:		Line 4:
	*Often associated with other malformations such as [[biliary atresia]] or gallbladder agenesis		*Often associated with other malformations such as [[biliary atresia]] or gallbladder agenesis
	*May also be associated with cardiac, renal, or vertebral abnormalities		*May also be associated with cardiac, renal, or vertebral abnormalities
	*About a quarter of patients born with duodenal atresia have [[~~Downs~~ syndrome]]		*About a quarter of patients born with duodenal atresia have [[Down syndrome]]

	==Clinical Features==		==Clinical Features==

ClaireLewis at 19:11, 14 September 2019

2019-09-14T19:11:58Z

← Older revision		Revision as of 19:11, 14 September 2019
Line 2:		Line 2:
	*During weeks 6 and 7 of gestation, the GI tract becomes occluded then recanalizes during weeks 8 to 10		*During weeks 6 and 7 of gestation, the GI tract becomes occluded then recanalizes during weeks 8 to 10
	*Duodenal atresia is thought to result from failure of recanalization		*Duodenal atresia is thought to result from failure of recanalization
	*Often associated with other malformations such as biliary atresia or gallbladder agenesis		*Often associated with other malformations such as [[biliary atresia]] or gallbladder agenesis
	*May also be associated with cardiac, renal, or vertebral abnormalities		*May also be associated with cardiac, renal, or vertebral abnormalities
	*About a quarter of patients born with duodenal atresia have Downs syndrome		*About a quarter of patients born with duodenal atresia have [[Downs syndrome]]

	==Clinical Features==		==Clinical Features==

ClaireLewis at 19:12, 21 August 2019

2019-08-21T19:12:46Z

← Older revision		Revision as of 19:12, 21 August 2019
Line 8:		Line 8:
	==Clinical Features==		==Clinical Features==
	''Presentation is very early in the postnatal period''		''Presentation is very early in the postnatal period''
			*Abdominal distention and bilious [[vomiting\|emesis]] within first 24 hours of birth
	~~===History===~~		**Abdomen often markedly distended, with visible or palpable loops of bowel
	*Abdominal distention and bilious emesis within first 24 hours of birth		**NG tube aspirate >20 mL
			*Signs of [[dehydration (peds)\|dehydration]] (e.g. dry mucous membranes, poor skin turgor, and sunken fontanelle)
	~~===Physical Exam===~~		*+/- Signs of other congenital anomalies
	*~~Dry mucus membranes, poor skin turgor, and sunken fontanelle~~
	*~~Signs of other congenital anomalies~~
	*The abdomen is often markedly distended with visible or palpable loops of bowel
	*NG tube aspirate >20 mL
	*~~Examine perineum~~ and ~~assess for patency~~ of ~~the anus~~

	==Differential Diagnosis==		==Differential Diagnosis==
	*Malrotation with volvulus		*Malrotation with [[volvulus (peds)\|volvulus]]
	*Hirschsprung disease		*[[Hirschsprung's disease]]
	*Meconium ileus		*Meconium [[ileus]]
	*~~Intestinal~~ atresia		*Other intestinal atresia

	{{N/v peds newborn}}		{{N/v peds newborn}}
Line 36:		Line 31:
	*NPO		*NPO
	*NG tube to suction		*NG tube to suction
	*Correct fluid and electrolyte abnormalities		*Correct fluid and [[electrolyte abnormalities]]
	*[[Ampicillin]] and [[gentamicin]] (to prevent post-op infection)		*[[Ampicillin]] and [[gentamicin]] (to prevent post-op infection)
	*Surgery		*Surgery

Kxl328: /* Clinical Features */

2018-11-04T23:17:06Z

Clinical Features

← Older revision		Revision as of 23:17, 4 November 2018
Line 10:		Line 10:

	===History===		===History===
	*Abdominal distention and bilious emesis		*Abdominal distention and bilious emesis within first 24 hours of birth

	===Physical Exam===		===Physical Exam===

Adriack: /* History */

2017-08-30T18:24:04Z

History

← Older revision		Revision as of 18:24, 30 August 2017
Line 10:		Line 10:

	===History===		===History===
	*Abdominal distention and ~~vomiting~~		*Abdominal distention and bilious emesis

	===Physical Exam===		===Physical Exam===
Line 16:		Line 16:
	*Signs of other congenital anomalies		*Signs of other congenital anomalies
	*The abdomen is often markedly distended with visible or palpable loops of bowel		*The abdomen is often markedly distended with visible or palpable loops of bowel
			*NG tube aspirate >20 mL
	*Examine perineum and assess for patency of the anus		*Examine perineum and assess for patency of the anus

Mholtz: Text replacement - "==References== " to "==References== "

2017-07-24T01:13:20Z

Text replacement - "==References== " to "==References== <references/> "

← Older revision		Revision as of 01:13, 24 July 2017
Line 43:		Line 43:

	==References==		==References==
			<references/>
	[[Category:GI]]		[[Category:GI]]
	[[Category:Pediatrics]]		[[Category:Pediatrics]]

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-23T22:06:53Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 22:06, 23 July 2016
Line 26:		Line 26:
	{{N/v peds newborn}}		{{N/v peds newborn}}

	==~~Diagnosis~~==		==Evaluation==
	*Imaging		*Imaging
	**AP, lateral, and cross table XR should be obtained on all infants with concern for obstruction		**AP, lateral, and cross table XR should be obtained on all infants with concern for obstruction