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Enteric Duplication Cysts in Children: A Single-Institution Series with Forty Patients in Twenty-Six Years

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Abstract

Purpose

The purpose of the study was to evaluate our experience with enteric duplication cysts in 40 children during the past 26 years, while assessing the variability of their presentations and to propose an algorithm for surgical management.

Methods

We retrospectively analysed sex, age, clinical presentations, duplication site, surgical treatment, presence of ectopic tissue, complications, associated anomalies, and prognosis of 40 patients with gastrointestinal tract duplications who were surgically treated in our clinic.

Results

Overall, there was a predominance of boys (28 males, 70 %; 12 females, 30 %). The presenting symptom was vomiting in 23 patients, rectal bleeding in 11 patients, abdominal mass in 10 patients, abdominal pain in 9 patients, constipation in 6 patients, cough in 2 patients, and respiratory distress in 2 patients. In 30 patients, a complete excision of the cyst with additional segmental intestinal resection and anastomosis was performed. Cystectomy was performed in seven patients, while complete excision of the cyst with additional wedge resection was performed in two. A Wrenn procedure (mucosectomy) was performed in one patient.

Conclusion

Due to the variability in the site of enteric duplications, a wide range of presenting symptoms can exist, which is challenging for diagnosis. In children with a diagnosis of acute abdomen, enteric duplication cysts should be considered, and these children should be further investigated for additional skeletal, urogenital, and gastrointestinal system pathologies. Surgical treatment depends on the site and type of the cyst.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Istanbul University Istanbul Medical Faculty, Millet caddesi, Capa, Fatih, 34093, Istanbul, Turkey

    Basak Erginel, Feryal Gun Soysal, Huseyin Ozbey, Erbug Keskin, Alaattin Celik, Aslıhan Karadag & Tansu Salman

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  1. Basak Erginel
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  2. Feryal Gun Soysal
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  3. Huseyin Ozbey
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  5. Alaattin Celik
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  6. Aslıhan Karadag
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  7. Tansu Salman
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Corresponding author

Correspondence to Basak Erginel.

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The authors declared that they have no conflicts of interest with respect to either the authorship or publication of this article.

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Erginel, B., Soysal, F.G., Ozbey, H. et al. Enteric Duplication Cysts in Children: A Single-Institution Series with Forty Patients in Twenty-Six Years. World J Surg 41, 620–624 (2017). https://doi.org/10.1007/s00268-016-3742-4

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