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Duodenal stenosis

MedGen UID:
66761
•Concept ID:
C0238093
•
Anatomical Abnormality
Synonyms: Duodenal Stenosis; Duodenal stenosis/atresia; Stenosis of duodenum
SNOMED CT: Stenosis of duodenum (73120006); Duodenal stenosis (73120006)
 
HPO: HP:0100867

Definition

The narrowing or partial blockage of a portion of the duodenum. [from HPO]

Conditions with this feature

Complete trisomy 21 syndrome
MedGen UID:
4385
•Concept ID:
C0013080
•
Disease or Syndrome
Down syndrome, the most frequent form of mental retardation caused by a microscopically demonstrable chromosomal aberration, is characterized by well-defined and distinctive phenotypic features and natural history. It is caused by triplicate state (trisomy) of all or a critical portion of chromosome 21.
See: Condition Record
Annular pancreas
MedGen UID:
56211
•Concept ID:
C0149955
•
Congenital Abnormality
A congenital anomaly in which the pancreas completely (or sometimes incompletely) encircles the second portion of duodenum and occasionally obstructs the more proximal duodenum.
See: Condition Record
Meier-Gorlin syndrome 7
MedGen UID:
934705
•Concept ID:
C4310738
•
Disease or Syndrome
Any Meier-Gorlin syndrome in which the cause of the disease is a mutation in the CDC45 gene.
See: Condition Record
Annular pancreas
Complete trisomy 21 syndrome
Meier-Gorlin syndrome 7

Professional guidelines

PubMed

Prevalence, diagnosis, and surgical management of complex ileocolic-duodenal fistulas in Crohn's disease.
Freund MR, Perets M, Horesh N, Yellinek S, Halfteck G, Reissman P, Rosenthal RJ, Wexner SD
Tech Coloproctol 2022 Aug;26(8):637-643. Epub 2022 Apr 22 doi: 10.1007/s10151-022-02616-x. PMID: 35451660
Diagnostic decision-making tool for imaging term neonatal bowel obstruction.
Tsitsiou Y, Calle-Toro JS, Zouvani A, Andronikou S
Clin Radiol 2021 Mar;76(3):163-171. Epub 2020 Oct 20 doi: 10.1016/j.crad.2020.09.016. PMID: 33097229
Outcomes After Conservative, Endoscopic, and Surgical Treatment of Groove Pancreatitis: A Systematic Review.
Kager LM, Lekkerkerker SJ, Arvanitakis M, Delhaye M, Fockens P, Boermeester MA, van Hooft JE, Besselink MG
J Clin Gastroenterol 2017 Sep;51(8):749-754. doi: 10.1097/MCG.0000000000000746. PMID: 27875360

Recent clinical studies

Etiology

Postoperative feeding in neonatal duodenal obstruction.
Aroonsaeng D, Losty PD, Thanachatchairattana P
BMC Pediatr 2022 Aug 3;22(1):467. doi: 10.1186/s12887-022-03524-7. PMID: 35922792Free PMC Article
The diagnostic accuracy of ultrasound and upper gastrointestinal contrast studies for locating atresia/stenosis and intestinal malrotation and detecting annular pancreas in pediatric patients with duodenal atresia/stenosis.
Hosokawa T, Tanami Y, Sato Y, Ishimaru T, Kawashima H, Oguma E
J Med Ultrason (2001) 2022 Apr;49(2):299-309. Epub 2022 Jan 6 doi: 10.1007/s10396-021-01176-1. PMID: 34988762
Duodenum-preserving pancreatic resection versus pancreaticoduodenectomy for chronic pancreatitis.
Gurusamy KS, Lusuku C, Halkias C, Davidson BR
Cochrane Database Syst Rev 2016 Feb 3;2(2):CD011521. doi: 10.1002/14651858.CD011521.pub2. PMID: 26837472Free PMC Article
Nutrition in chronic pancreatitis.
Rasmussen HH, Irtun O, Olesen SS, Drewes AM, Holst M
World J Gastroenterol 2013 Nov 14;19(42):7267-75. doi: 10.3748/wjg.v19.i42.7267. PMID: 24259957Free PMC Article
Membranous duodenal stenosis.
Mikaelsson C, Arnbjörnsson E, Kullendorff CM
Acta Paediatr 1997 Sep;86(9):953-5. doi: 10.1111/j.1651-2227.1997.tb15177.x. PMID: 9343274

Diagnosis

Diagnostic decision-making tool for imaging term neonatal bowel obstruction.
Tsitsiou Y, Calle-Toro JS, Zouvani A, Andronikou S
Clin Radiol 2021 Mar;76(3):163-171. Epub 2020 Oct 20 doi: 10.1016/j.crad.2020.09.016. PMID: 33097229
Groove pancreatitis.
Pallisera-Lloveras A, Ramia-Ángel JM, Vicens-Arbona C, Cifuentes-Rodenas A
Rev Esp Enferm Dig 2015 May;107(5):280-8. PMID: 25952803
Paraduodenal pancreatitis.
Arora A, Dev A, Mukund A, Patidar Y, Bhatia V, Sarin SK
Clin Radiol 2014 Mar;69(3):299-306. Epub 2013 Oct 3 doi: 10.1016/j.crad.2013.07.011. PMID: 24094726
Groove pancreatitis.
Tezuka K, Makino T, Hirai I, Kimura W
Dig Surg 2010;27(2):149-52. Epub 2010 Jun 10 doi: 10.1159/000289099. PMID: 20551662
Membranous duodenal stenosis.
Mikaelsson C, Arnbjörnsson E, Kullendorff CM
Acta Paediatr 1997 Sep;86(9):953-5. doi: 10.1111/j.1651-2227.1997.tb15177.x. PMID: 9343274

Therapy

Outcomes of patients with malignant duodenal obstruction after receiving self-expandable metallic stents: A single center experience.
Wei TH, Ye BW, Wu PS, Li CP, Chao Y, Lee PC, Huang YH, Lee KC, Hou MC
PLoS One 2022;17(5):e0268920. Epub 2022 May 25 doi: 10.1371/journal.pone.0268920. PMID: 35613143Free PMC Article
Complications of endoscopically placed duodenal stents for malignant duodenal outlet obstruction.
Sekra A, Dyavadi V, Jin Q, Ogra R
N Z Med J 2021 Jun 4;134(1536):77-85. PMID: 34140714
Endovascular Repair of Inflammatory Aortic Aneurysms: Experience in a Single Center.
Cardaci MB, Destraix R, Van Houte B, Vazquez C
Ann Vasc Surg 2019 Jul;58:255-260. Epub 2019 Feb 6 doi: 10.1016/j.avsg.2018.10.046. PMID: 30735769
Duodenum-preserving pancreatic resection versus pancreaticoduodenectomy for chronic pancreatitis.
Gurusamy KS, Lusuku C, Halkias C, Davidson BR
Cochrane Database Syst Rev 2016 Feb 3;2(2):CD011521. doi: 10.1002/14651858.CD011521.pub2. PMID: 26837472Free PMC Article
Ectopic opening of the common bile duct and duodenal stenosis: an overlooked association.
Parlak E, Dişibeyaz S, Cengiz C, Ciçek B, Ozin Y, Kacar S, Saşmaz N, Sahin B
BMC Gastroenterol 2010 Dec 4;10:142. doi: 10.1186/1471-230X-10-142. PMID: 21129223Free PMC Article

Prognosis

Outcomes of patients with malignant duodenal obstruction after receiving self-expandable metallic stents: A single center experience.
Wei TH, Ye BW, Wu PS, Li CP, Chao Y, Lee PC, Huang YH, Lee KC, Hou MC
PLoS One 2022;17(5):e0268920. Epub 2022 May 25 doi: 10.1371/journal.pone.0268920. PMID: 35613143Free PMC Article
Pancreatic groove cancer.
Ku YH, Chen SC, Shyr BU, Lee RC, Shyr YM, Wang SE
Medicine (Baltimore) 2017 Jan;96(2):e5640. doi: 10.1097/MD.0000000000005640. PMID: 28079795Free PMC Article
Nutrition in chronic pancreatitis.
Rasmussen HH, Irtun O, Olesen SS, Drewes AM, Holst M
World J Gastroenterol 2013 Nov 14;19(42):7267-75. doi: 10.3748/wjg.v19.i42.7267. PMID: 24259957Free PMC Article
Surgical treatment of chronic pancreatitis and quality of life after operation.
Izbicki JR, Bloechle C, Knoefel WT, Rogiers X, Kuechler T
Surg Clin North Am 1999 Aug;79(4):913-44. doi: 10.1016/s0039-6109(05)70051-7. PMID: 10470335
Membranous duodenal stenosis.
Mikaelsson C, Arnbjörnsson E, Kullendorff CM
Acta Paediatr 1997 Sep;86(9):953-5. doi: 10.1111/j.1651-2227.1997.tb15177.x. PMID: 9343274

Clinical prediction guides

Postoperative feeding in neonatal duodenal obstruction.
Aroonsaeng D, Losty PD, Thanachatchairattana P
BMC Pediatr 2022 Aug 3;22(1):467. doi: 10.1186/s12887-022-03524-7. PMID: 35922792Free PMC Article
Outcomes of patients with malignant duodenal obstruction after receiving self-expandable metallic stents: A single center experience.
Wei TH, Ye BW, Wu PS, Li CP, Chao Y, Lee PC, Huang YH, Lee KC, Hou MC
PLoS One 2022;17(5):e0268920. Epub 2022 May 25 doi: 10.1371/journal.pone.0268920. PMID: 35613143Free PMC Article
Outcomes After Conservative, Endoscopic, and Surgical Treatment of Groove Pancreatitis: A Systematic Review.
Kager LM, Lekkerkerker SJ, Arvanitakis M, Delhaye M, Fockens P, Boermeester MA, van Hooft JE, Besselink MG
J Clin Gastroenterol 2017 Sep;51(8):749-754. doi: 10.1097/MCG.0000000000000746. PMID: 27875360
Paraduodenal pancreatitis.
Arora A, Dev A, Mukund A, Patidar Y, Bhatia V, Sarin SK
Clin Radiol 2014 Mar;69(3):299-306. Epub 2013 Oct 3 doi: 10.1016/j.crad.2013.07.011. PMID: 24094726
Nutrition in chronic pancreatitis.
Rasmussen HH, Irtun O, Olesen SS, Drewes AM, Holst M
World J Gastroenterol 2013 Nov 14;19(42):7267-75. doi: 10.3748/wjg.v19.i42.7267. PMID: 24259957Free PMC Article

Recent systematic reviews

Outcomes After Conservative, Endoscopic, and Surgical Treatment of Groove Pancreatitis: A Systematic Review.
Kager LM, Lekkerkerker SJ, Arvanitakis M, Delhaye M, Fockens P, Boermeester MA, van Hooft JE, Besselink MG
J Clin Gastroenterol 2017 Sep;51(8):749-754. doi: 10.1097/MCG.0000000000000746. PMID: 27875360
Duodenum-preserving pancreatic resection versus pancreaticoduodenectomy for chronic pancreatitis.
Gurusamy KS, Lusuku C, Halkias C, Davidson BR
Cochrane Database Syst Rev 2016 Feb 3;2(2):CD011521. doi: 10.1002/14651858.CD011521.pub2. PMID: 26837472Free PMC Article

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