The value of ultrasonographic diagnosis of membranous duodenal stenosis in children

doi:10.3877/cma.j.issn.1672-6448.2018.12.009

Abstract

Abstract:

Objective

To summarize the preoperative ultrasonic characteristics of membranous duodenal stenosis (MDS) in children.

Methods

The ultrasonographic features of 94 children with operation-confirmed MDS were summarized, who underwent ultrasonography and upper gastrointestinal contrast at Beijing Children's Hospital Affiliated to Capital Medical University from 2004 to 2017.

Results

Preoperative ultrasound in 94 patients with MDS showed 81 cases (86.2%, 81/94) of MDS and 65 cases (69.1%, 65/94) of intestinal septum. Of them, the pores were observed in 50.8% (33/65) cases. In all 94 patients septum and duodenal obstruction were confirmed by operation.

Conclusions

Ultrasonography can clearly show the location of intestinal obstruction and identify the septum in the intestine. Ultrasound is helpful in surgical planning, and is the method of choice for the preoperative diagnosis of MDS.

Key words: Ultrasonography, Children, Duodenal obstruction, Membranous duodenal stenosis, Septum

Qinglin Liu, Xiaoman Wang, Liqun Jia. The value of ultrasonographic diagnosis of membranous duodenal stenosis in children[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2018, 15(12): 931-934.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2018.12.009

https://chaosheng.cma-cmc.com.cn/EN/Y2018/V15/I12/931

Figures/Tables 2

References 14

1	Mikaelsson C, Arnbjörnsson E, Kullendorff CM. Membranous duodenal stenosis [J]. Acta Paediatr, 1997, 86(9): 953-955.
2	Jex RK, Hughes RW Jr. Endoscopic management of duodenal diaphragm in the adult [J]. Gastrointest Endosc, 1986, 32(6): 416-419.
3	Yoon CH, Goo HW, Kim EA, et al. Sonographic windsock sign of a duodenal web [J]. Pediatr Radiol, 2001, 31(12): 856-857.
4	Mousavi SA, Karami H, Saneian H. Congenital duodenal obstruction with delayed presentation: seven years of experience [J]. Arch Med Sci, 2016, 12(5): 1023-1027.
5	Nawaz A, Matta H, Jacobsz A, et al. Congenital duodenal diaphragm in eight children [J]. Ann Saudi Med, 2004, 24(3): 193-197.
6	Sarin YK, Sharma A, Sinha S, et al. Duodenal webs: an experience with 18 patients [J]. J Neonatal Surg.2012, 1(2): 20.
7	Materne R. The duodenal wind sock sign [J]. Radiology, 2001, 218(3): 749-750.
8	Noda K, Nguyen B. Congenital duodenal diaphragm [J]. Dig Endosc, 2011, 23(1): 101-102
9	闫学强, 郑楠楠, 叶国刚, 等. 十二指肠膜式狭窄与闭锁19例 [J]. 中华实用儿科临床杂志, 2012, 27(23): 1826-1827.
10	Melhus M, Aasen S. Diagnostic imaging of annular pancreas [J]. Tidsskr Nor Laegeforen, 2000, 120(27): 3254-3256.
11	van Rijn RR, van Lienden KP, Fortuna TL, et al. Membranous duodenal stenosis: initial experience with balloon dilatation in four children [J]. Eur J Radiol, 2006, 59(1): 29-32.
12	Huang MH, Bian HQ, Liang C, et al. Gastroscopic treatment of membranous duodenal stenosis in infants and children: report of 6 cases [J]. J Pediatr Surg, 2015, 50(3): 413-416.
13	Poddar U, Jain V, Yachha SK, et al. Congenital duodenal web: successful management with endoscopic dilatation [J]. Endosc Int Open, 2016, 4(3): E238-241.
14	Blanco-Rodríguez G, Penchyna-Grub J, Porras-Hernández JD, et al. Transluminal endoscopic electrosurgical incision of fenestrated duodenal membranes [J]. Pediatr Surg Int, 2008, 24(6): 711-714.

患儿年龄	超声检查			上消化道造影
患儿年龄	例数	MDS	肠梗阻	例数	MDS	肠梗阻
新生儿（<30 d）	49	43（87.8）	46（93.9）	17	5（29.4）	16（94.1）
婴幼儿（1~36个月）	37	31（83.8）	36（97.3）	18	10（55.6）	16（88.9）
小儿（≥3岁）	8	7（87.5）	8（100）	7	3（42.9）	7（100）
合计	94	81（86.2）	90（95.7）	42	18（42.9）	39（92.9）

患儿年龄	超声检查			上消化道造影
患儿年龄	例数	MDS	肠梗阻	例数	MDS	肠梗阻
新生儿（<30 d）	49	43（87.8）	46（93.9）	17	5（29.4）	16（94.1）
婴幼儿（1~36个月）	37	31（83.8）	36（97.3）	18	10（55.6）	16（88.9）
小儿（≥3岁）	8	7（87.5）	8（100）	7	3（42.9）	7（100）
合计	94	81（86.2）	90（95.7）	42	18（42.9）	39（92.9）

[1]	Shujie Wei, Pinjing Hui, Yafang Ding, Bai Zhang, Yanhong Yan, Peng Zhou, Yabo Huang. Evaluation of cerebral hemodynamics in patients with unilateral internal carotid artery occlusion undergoing superficial temporal artery-middle cerebral artery bypass [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(10): 1046-1055.
[2]	Xuan Zhang, Yutong Ma, Yuqian Miao, Yun Zhang, Shiwen Wu, Xiaochu Dang, Yingying Chen, Zhaoming Zhong, Xuejuan Wang, Miao Hu, Yanfeng Sun, Xiuzhu Ma, Faqin Lyu, Haiyan Kou. Ultrasound assessment of diaphragm function in pediatric patients with Duchenne muscular dystrophy [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(10): 1068-1073.
[3]	Baofu Zhang, Jin Yu, Jingjing Ye, Jiangen Yu, Xiaohui Ma, Xiwang Liu. Echocardioimagedata diagnosis of anomalous pulmonary venous connection caused by congenital malposition of the septum primum [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(10): 1074-1080.
[4]	Lianhua Zhu, Xiang Fei, Peng Han, Bo Jiang, Nan Li, Yukun Luo. Value of high frame rate contrast-enhanced ultrasound in differential diagnosis of gallbladder polyp lesions [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(09): 904-910.
[5]	Dan Han, Ting Wang, Huan Xiao, Lirong Zhu, Jingyu Chen, Yi Tang. Diagnostic value of contrast enhanced ultrasound versus contrast enhanced computed tomography in benign and malignant liver lesions in children [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(09): 939-944.
[6]	Meifang Zhang, Ying Tan, Qiaozhen Zhu, Xin Wen, Ying Yuan, Yue Qin, Hongbo Guo, Lingxiu Hou, Wenlan Huang, Guiyan Peng, Shengli Li. Artificial intelligence-based quality control of mid-sagittal plane ultrasound images for first trimester fetal crown-rump length [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(09): 945-950.
[7]	Ruina Zhao, Yuxin Jiang, Tao Chen, Li Zhang, Cheng Chen, Siqi Jin, Xueqi Chen, Xiao Yang, Jianchu Li. Present status and reform demands of continuing medical education for ultrasonic physicians in Beijing [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(09): 966-973.
[8]	Tingting Liu, Yanbing Lin, Shan Wang, Murong Chen, Zijian Tang, Dongling Dai, Bei Xia. Evaluation of metabolic dysfunction-associated fatty liver disease in children by ultrasound-guided attenuation parameter [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(08): 787-794.
[9]	Yuhan Zhou, Huan Xiao, Chunjiang Yang, Juan Zhou, Lirong Zhu, Juan Xu, Fangting Mou. Diagnostic value of ultrasound in children with temporary hip synovitis [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(08): 795-800.
[10]	Huanyan Liu, Yang Hua, Lingyun Jia, Xinyu Zhao, Beibei Liu. Lumen structure and hemodynamic characteristics of occluded internal carotid artery [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(08): 809-815.
[11]	Lianlian Zhang, Pinjing Hui, Yafang Ding. Clinical value of carotid Doppler ultrasonography in assessing vulnerability of atherosclerotic plaques [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(08): 816-821.
[12]	Yaping Jia, Shu'e Zeng. Ultrasound and pathological characteristics of breast metaplastic carcinoma containing squamous cell carcinoma components [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(08): 844-848.
[13]	Zehui Huang, Jiexian Liang, Wei Zeng. Application of dexmedetomidine combined with esketamine in painless gastroscopy in children [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 510-513.
[14]	Fengyun Wu, Xin Teng, Lianjuan Liu. Diagnostic value of high-frequency ultrasonography and enhanced magnetic resonance for primary hyperdifferentiated hepatocellular carcinoma of different diameters [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 404-408.
[15]	Jing Li, Lingling Zhang, Wei Xing. Value of concept of interest induction before anesthesia induction in pediatric surgery and its effect on family satisfaction [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(07): 812-817.

Please choose a citation manager

Content to export