Vitelline duct pathologies in neonates
INTRODUCTION[|]The aim of this study was to review the management of pediatric cases of vitelline duct pathology (VDP) detected surgically or incidentally during the neonatal period and the outcomes.[¤]METHODS[|]The data of newborns who were symptomatic and underwent VDP resection or who were incide...
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| Format: | Article |
| Language: | English |
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KARE Publishing
2018-09-01
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| Series: | İstanbul Kuzey Klinikleri |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-60590 |
| _version_ | 1797907205556535296 |
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| author | Suleyman Celebi Seyithan Ozaydin Esra Polat Cemile Basdas Elmas Reyhan Alim Serdar Sander |
| author_facet | Suleyman Celebi Seyithan Ozaydin Esra Polat Cemile Basdas Elmas Reyhan Alim Serdar Sander |
| author_sort | Suleyman Celebi |
| collection | DOAJ |
| description | INTRODUCTION[|]The aim of this study was to review the management of pediatric cases of vitelline duct pathology (VDP) detected surgically or incidentally during the neonatal period and the outcomes.[¤]METHODS[|]The data of newborns who were symptomatic and underwent VDP resection or who were incidentally diagnosed with VDP at a single institution between 1985 and 2015 were retrospectively analyzed in terms of age, sex, clinical features, treatment, perioperative findings, ectopic tissue pathology, and postoperative follow-up information.[¤]RESULTS[|]Among the 36 newborns enrolled in this study, 26 were male and 10 were female (2.6: 1). The median weight was 2400 g (range: 800–3090 g). In 16 cases (14 males and 2 females; 7: 1) the VDP was surgically repaired. Pathological evaluation indicated that 43% (n=7) of the cases had ectopic gastric mucosa. VDP was incidentally discovered in 12 males and 8 females (1.5: 1). VDP was removed in 10 cases (50%) and left intact in others. Ectopic gastric mucosa was observed in 10% of the VDP removal cases. Ectopic gastric tissue was more prevalent in the surgical VDP cases than in the incidentally discovered and VDP removal cases (p<0.05). Male predominance was greater in the surgically repaired cases than in the incidentally discovered cases (p<0.05). One patient whose VDP was discovered incidentally was admitted 3 years later with obstruction due to intussusception caused by Meckel's diverticulum, and 1 patient was admitted with rectal bleeding at 11 years of age.[¤]DISCUSSION AND CONCLUSION[|]Symptomatic VDP in the newborn demonstrates a significant gender difference. Symptomatic cases are more likely to have ectopic gastric tissue than non-symptomatic cases. Incidentally detected cases without removal should be followed closely for future complications.[¤] |
| first_indexed | 2024-04-10T10:32:52Z |
| format | Article |
| id | doaj.art-1d00814cb7034aa3878229cb1cebc88d |
| institution | Directory Open Access Journal |
| issn | 2148-4902 |
| language | English |
| last_indexed | 2024-04-10T10:32:52Z |
| publishDate | 2018-09-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | İstanbul Kuzey Klinikleri |
| spelling | doaj.art-1d00814cb7034aa3878229cb1cebc88d2023-02-15T16:21:02ZengKARE Publishingİstanbul Kuzey Klinikleri2148-49022018-09-015321121510.14744/nci.2017.60590NCI-60590Vitelline duct pathologies in neonatesSuleyman Celebi0Seyithan Ozaydin1Esra Polat2Cemile Basdas3Elmas Reyhan Alim4Serdar Sander5Department of Pediatric Surgery, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, TurkeyDepartment of Pediatric Surgery, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, TurkeyDepartment of Pediatric Gastroenterology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, TurkeyDepartment of Pediatric Surgery, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, TurkeyDepartment of Pediatric Surgery, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, TurkeyDepartment of Pediatric Surgery, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, TurkeyINTRODUCTION[|]The aim of this study was to review the management of pediatric cases of vitelline duct pathology (VDP) detected surgically or incidentally during the neonatal period and the outcomes.[¤]METHODS[|]The data of newborns who were symptomatic and underwent VDP resection or who were incidentally diagnosed with VDP at a single institution between 1985 and 2015 were retrospectively analyzed in terms of age, sex, clinical features, treatment, perioperative findings, ectopic tissue pathology, and postoperative follow-up information.[¤]RESULTS[|]Among the 36 newborns enrolled in this study, 26 were male and 10 were female (2.6: 1). The median weight was 2400 g (range: 800–3090 g). In 16 cases (14 males and 2 females; 7: 1) the VDP was surgically repaired. Pathological evaluation indicated that 43% (n=7) of the cases had ectopic gastric mucosa. VDP was incidentally discovered in 12 males and 8 females (1.5: 1). VDP was removed in 10 cases (50%) and left intact in others. Ectopic gastric mucosa was observed in 10% of the VDP removal cases. Ectopic gastric tissue was more prevalent in the surgical VDP cases than in the incidentally discovered and VDP removal cases (p<0.05). Male predominance was greater in the surgically repaired cases than in the incidentally discovered cases (p<0.05). One patient whose VDP was discovered incidentally was admitted 3 years later with obstruction due to intussusception caused by Meckel's diverticulum, and 1 patient was admitted with rectal bleeding at 11 years of age.[¤]DISCUSSION AND CONCLUSION[|]Symptomatic VDP in the newborn demonstrates a significant gender difference. Symptomatic cases are more likely to have ectopic gastric tissue than non-symptomatic cases. Incidentally detected cases without removal should be followed closely for future complications.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-60590meckel's diverticulumneonates; vitelline duct pathologies. |
| spellingShingle | Suleyman Celebi Seyithan Ozaydin Esra Polat Cemile Basdas Elmas Reyhan Alim Serdar Sander Vitelline duct pathologies in neonates İstanbul Kuzey Klinikleri meckel's diverticulum neonates; vitelline duct pathologies. |
| title | Vitelline duct pathologies in neonates |
| title_full | Vitelline duct pathologies in neonates |
| title_fullStr | Vitelline duct pathologies in neonates |
| title_full_unstemmed | Vitelline duct pathologies in neonates |
| title_short | Vitelline duct pathologies in neonates |
| title_sort | vitelline duct pathologies in neonates |
| topic | meckel's diverticulum neonates; vitelline duct pathologies. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-60590 |
| work_keys_str_mv | AT suleymancelebi vitellineductpathologiesinneonates AT seyithanozaydin vitellineductpathologiesinneonates AT esrapolat vitellineductpathologiesinneonates AT cemilebasdas vitellineductpathologiesinneonates AT elmasreyhanalim vitellineductpathologiesinneonates AT serdarsander vitellineductpathologiesinneonates |