Report of congenital duodenum obstruction(54 cases)

【Objective】To summarize in clinical manifestation,operative method and peri-operative management of Congenital Duodenum Obstruction.【Methods】54 cases of Congenital Duodenum Obstruction who's age from 1 hour to 10 months were analyzed retrospectively.14 cases in Membrane Atresia of Duodenum,3 cases in other type of Duodenum Obstruction,3 cases in abnormal zone around of Duodenum,22 cases in Intestinal Malrotation,12 cases in Annular Pancreas.31 cases were cured by the Ladd's operation,13 cases by anterior wall of Duodenum diamond anastomosis,14 cases by membrane resection,2 cases by Duodenum-Duodenum anastomosis,3 cases by adhesion lysis.【Results】1 case in Intestinal Malrotation complicated with Volvulus and extensive intestinal necrosis automatic discharged after operation,1 case abandoned treatment for extensive intestinal adhesion and without operation,52 cases were cured and left hospital.【Conclusion】Congenital duodenum obstruction is common diseases in neonatal.Main causes were intestinal malrotation,membrane atresia of duodenum and annular pancreas.The key of improving curing rate are early diagnosis,reasonable selection of operative methods,avoiding missed diagnosis and strengthening peri-operative treatment.