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Modified pyloric exclusion for infants with complex duodenal injuries

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Abstract

Duodenal injuries among infants are exceedingly rare. The use of pyloric exclusion in the treatment of infants is previously unreported. We report three cases of duodenal injury in infants who were surgically managed through duodenal diversion via pyloric exclusion with concomitant tube gastrostomy. A subsequent discussion of pyloric exclusion highlights the therapeutic rationale, surgical technique, and previous experience with this procedure in children.

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Authors and Affiliations

  1. Division of Pediatric Surgery, Department of Surgery, University of Texas Medical School, MSB 5.246, 6431 Fannin, Houston, TX, USA

    Matthew T. Harting, Debra Doherty, Kevin P. Lally & Charles S. Cox Jr

  2. Department of Medical Illustration, Medical College of Georgia, Augusta, GA, USA

    William M. Andrews

Authors
  1. Matthew T. Harting
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  2. Debra Doherty
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  3. Kevin P. Lally
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  4. William M. Andrews
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  5. Charles S. Cox Jr
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Correspondence to Charles S. Cox Jr.

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Harting, M.T., Doherty, D., Lally, K.P. et al. Modified pyloric exclusion for infants with complex duodenal injuries. Ped Surgery Int 21, 569–572 (2005). https://doi.org/10.1007/s00383-005-1457-y

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  • DOI: https://doi.org/10.1007/s00383-005-1457-y

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