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. 2016; 22(1): 109-113 | DOI: 10.5505/tjtes.2016.69947 | |||
Çocuklarda duodenum perforasyonlarıŞenol Emre, Emrah Aydın, Rahşan Özcan, Gonca Topuzlu Tekant, Ergun Erdoğan, Osman Faruk Şenyüz, Sinan Celayirİstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Çocuk Cerrahisi Anabilim DalıAmaç: Kliniğimizde duodenal perforasyon nedeniyle takip ve tedavisi yapılan olguların incelenmesidir. Duodenum perforations in childrenŞenol Emre, Emrah Aydın, Rahşan Özcan, Gonca Topuzlu Tekant, Ergun Erdoğan, Osman Faruk Şenyüz, Sinan CelayirIstanbul University Cerrahpasa Medical Faculty Department Of Pediatric SurgeryAim: To analyse patients those admitted to our clinic due to perforation in duodenum. Patients and Method: Fourteen patients those have been admitted to our center with perforation in duodenum between 1990 – 2014 analysed retrospectively. Results: Ten patients (8M, 6F) those have been admitted to our clinic between 1990 – 2014 have a mean age of 6.2 years (25 days – 16 years). Two of cases admitted directly to our clinic and the rest refered from another hospitals. Mean time for appliance to our clinic was 3.2 days ( 1day – 1 week). Ulcer in duodenum was the cause of perforation in 10 cases while in 3 the cause was trauma and in 1 case was surgical complication of infantyl persistant hyperinsulinism (IPHH). The case with hyperbilluribinemia after near total pancreatectomy due to IPHH had been explored and perforation in deuedenum diagnosed. Resection in first two parts of duodenum and pylor, choledochojejunostomy, gastrojejunostomy and jejunojejunostomy was performed. Primary repair was performed in the remaining patients. In one case with primary repair gastrostomy was performed, while in 9 cases omentoplasty were performed. In the follow-up 12 cases has no problems and doing well. Two patients died. Şenol Emre, Emrah Aydın, Rahşan Özcan, Gonca Topuzlu Tekant, Ergun Erdoğan, Osman Faruk Şenyüz, Sinan Celayir. Duodenum perforations in children. . 2016; 22(1): 109-113 Sorumlu Yazar: Şenol Emre, Türkiye |
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