Foregut Duplications

Document Type

Book Chapter

Publication Date

12-2022

Identifier

DOI: 10.1007/978-3-031-07524-7_49

Abstract

Foregut duplication cysts are a rare congenital anomaly with varied clinical presentation requiring surgical resection for definitive management. Duplications are diagnosed antenatally as early as 12 weeks, with nearly 95% identified by age two. Prompt recognition, diagnosis, and resection are critical as there are often associated vertebral, gastrointestinal, and cardiac anomalies. Duplications are symptomatic in 80% of cases and may contain active gastric and pancreatic tissue that can cause severe symptoms including melena, perforation, and fistula. There is potential for malignant degeneration with untreated or incompletely resected duplications, emphasizing early and complete resection. Computed tomography is the imaging of choice for diagnosis, with MRI favored for those with suspected associated vertebral anomalies and MRCP for those with duplications near pancreaticobiliary structures. Minimally invasive resection is the recommended operative approach and is safe, with minimal complications, very low recurrence, and exceptional outcomes.

Journal Title

Fundamentals of Pediatric Surgery

First Page

521

Last Page

526

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