Dupliaciones entéricas en pacientes pediátricos

Determinar la incidencia de duplicaciones del Tubo Digestivo en ninos, en un periodo de 10 anos. Estudio descriptivo, transversal, retrospectivo. Revision de historias clinicas y biopsias en el Hospital de Ninos JM de Los Rios, desde 1998 a 2008. Variables: edad, sexo, presentacion clinica, organo duplicado, estudio diagnostico y tratamiento. Se reportaron 11 pacientes con quistes de duplicacion, 28% eran recien nacidos, 73% del sexo femenino. Predomino el dolor abdominal como sintoma de presentacion en 28%. Se realizo diagnostico prenatal en 18%. El organo duplicado predominante fue intestino delgado 55%. Se realizo ecografia abdominal a 7 pacientes y de estos en un 71% se diagnostico duplicacion intestinal antes de la cirugia. Se realizo exploracion a cielo abierto en todos los casos y en 82% se realizo reseccion total del quiste. Las duplicaciones del tubo digestivo son poco frecuentes. El diagnostico prenatal permite corregir el defecto en edades tempranas y disminuir su morbilidad. La ecografia es un metodo util para el diagnostico. La reseccion total de la duplicacion es el tratamiento ideal...(AU) Determining the incidence of duplications of digestive tube in children, during a 10-year term. Retrospective cross-sectioned descriptive study. Review of clinical records and biopsies in Hospital de Ninos JM de Los Rios, between 1998 and 2008. Variables: age, sex, clinical presentation, duplicated organ, study, diagnosis, and treatment. 11 patients were reported with duplication cysts: 28% was just-born, 73% was female. Abdominal pain prevailed as the presentation symptom in 28% of cases. Prenatal diagnosis was performed in 18% of cases. Small intestine was the prevailing duplicated organ: 55% of cases. Abdominal echography was performed in 7 patients, and out of which 71% was diagnosed with intestine duplication before surgery. Open sky exploration was carried out in all cases and total resection of cyst was performed in 82% of all cases. Duplications of the digestive tube uncommon. Prenatal diagnosis allows for correcting such defect in early age, thus reducing morbidity. Echography is a diagnosis helpful method. The ideal treatment for duplication is total resection...(AU)