
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Duodenal atresia natural history, complications and prognosis
Introduction
Overview
Overview
The symptoms of duodenal atresia usually develop in the first 48 hours of life, and start with symptoms such as bilious vomiting in 80% of the cases. Prognosis is generally very good, and the survival rate of patients with duodenal atresia is approximately 90%.
Natural History, Complications, and Prognosis
Natural History, Complications, and Prognosis
Natural History
- The symptoms of duodenal atresia usually develop in the first 48 hours of life, and start with symptoms such as vomiting.[1]
- Bilious vomiting in 80% of the cases.
- Non-bilious vomiting in 20% of the cases.
- Dehydration
- If duodenal atresia is left untreated it will result in death.
Complications
The complications of duodenal atresia are as follows:[2][3]
- There are no complications associated with duodenal atresia, however post surgical complications may occur.
- Post surgical complications include:
- Adhesions
- Duodenal dysmotility
- Megaduodenum with blind loop syndrome
- Duodenogastric reflux and gastritis
- Peptic ulcer disease
- Gastroesophageal reflux
- Cholelithiasis
- Cholecystitis
Prognosis
- Prognosis is generally good, and the survival rate of patients with duodenal atresia is approximately 90% after surgery.[4]
References
References
- β Adams, Stephen D.; Stanton, Michael P. (2014). “Malrotation and intestinal atresias”. Early Human Development. 90 (12): 921β925. doi:10.1016/j.earlhumdev.2014.09.017. ISSNΒ 0378-3782.
- β Spigland N, Yazbeck S (1990). “Complications associated with surgical treatment of congenital intrinsic duodenal obstruction”. J Pediatr Surg. 25 (11): 1127β30. PMIDΒ 2273425.
- β Kokkonen ML, Kalima T, JÀÀskelΓ€inen J, Louhimo I (1988). “Duodenal atresia: late follow-up”. J Pediatr Surg. 23 (3): 216β20. PMIDΒ 3357136.
- β Escobar MA, Ladd AP, Grosfeld JL, West KW, Rescorla FJ, Scherer LR; et al. (2004). “Duodenal atresia and stenosis: long-term follow-up over 30 years”. J Pediatr Surg. 39 (6): 867β71, discussion 867-71. PMIDΒ 15185215.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
