Bowel Duplication
Duplication is the word that a structure is two of the same or similar (duplicating).
Duplication of the digestive tract is an abnormal part of the intestine that is connected to or directly associated with the normal intestine. In other words, it is a structure that resembles the normal intestine but is not actually a gut.
This is also called duplication cyst. This duplication cyst or duplicated intestinal portion is usually covered with intestinal cells.
In which part of the digestive tract do bowel duplications occur?
Digestive system duplications can occur in any part along the esophagus, stomach, small and large intestine.
Their length and size are variable. It may be spherical or a tubular. The cell structure is very similar to normal intestinal cells.
When and how often bowel duplication occurs?
It occurs every 9000 births, so it is quite rare. One third of the patients are diagnosed in the neonatal period.
Symptoms of duplication of the digestive tract?
It is often diagnosed by prenatal ultrasound or by chance after birth. Pain may also occur with signs of obstruction in the digestive tract and bleeding. Findings may occur due to stretching with the expansion of duplication, or they may cause various complaints by compressing other neighboring organs. Ulcers and severe bleeding may occur with acid release of different cells in the duplication (eg stomach cells). It may cause difficulty in swallowing by compressing the esophagus, and respiratory distress or difficulty by compressing the trachea.
How is the diagnosis made?
A direct abdominal x-ray can give clues if there is a sign of obstruction in the digestive tract, but it does not help in the diagnosis. Cystic duplications are usually seen by ultrasonography. It can also be diagnosed by computed tomography. With the esophagus film, there may be a cyst finding that compresses the esophagus. Prenatal ultrasonography may show cystic duplications. Tubular duplications may not be able to separate the intestines from their structure if they cannot be diagnosed with these imaging methods. In this case, scintigraphic imaging is utilized.
There were coexisting anomalies accompanying the duplication, so detailed radiological examination of the patients is required.
Where does duplication occur?
From the mouth, tongue, esophagus, stomach, thoracic cavity into the abdomen, duodenum (small intestine), small intestines, large intestines, rectum.
How is it treated?
The treatment is surgical removal of the duplication cyst. The surgical method varies according to the organ part, size and general condition of the patient where the duplication is located. Cysts located in the thoracic cavity are removed by thoracic surgery. The cyst originating from the digestive system in the abdomen is removed by abdominal surgery. Depending on the location of the cyst, a portion of the intestine may also need to be removed, in which case the intestine may be reassembled and maintained. Injury to the intestine and esophagus may occur during surgery due to the proximity of the mass, which is repaired.
How long will my child be hospitalized?
Normal operation of the intestines after surgery, the normal defecation period varies between 2-3 days. During this period, it is supplemented with serum and antibiotic treatments continue. After bowel movements and normal defecation begins to feed. Separation from the serum and full oral feeding is completed within 5-6 days and may be discharged.
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