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Issue Information
Publication year - 2019
Publication title -
pediatrics international
Language(s) - English
Resource type - Reports
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.13621
Subject(s) - enterotomy , medicine , surgery , laparotomy
Cover image: Schematic diagram of laparoscopic reconstruction of double duodenal atresia (DDA). (a) Placement of ports. (b) An enterotomy is made on the anterior surface of the bowel proximal and distal to the first atretic segment. The inferior aspect of the proximal enterotomy (blue line) is sutured to the superior aspect of the distal enterotomy (blue line). White arrow, first atretic segment; grey arrow, second atretic segment; asterisk, ampulla of Vater. (c) A second enterotomy is made distal to the ampulla of Vater on the anterior surface of the bowel, distal to the second atretic segment. The inferior portion of the proximal anastomosis (green line) is sutured to the superior aspect of the distal enterotomy (green line). (d) Finally, after it was confirmed that there was no atresia further distally by inserting nasogastric tube and normal saline, the superior aspect of the proximal enterotomy (yellow line) and the inferior aspect of the most distal enterotomy (yellow line) are sutured to complete the single layer anastomosis. (e) We did not place trans‐anastomotic tube. (f) Schematic diagram of each atretic segment and enterotomy. See Laparoscopic reconstruction of double duodenal atresia in a neonate: Novel procedure by Okata et al . in pages 513–515. Article link here

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