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Duodenal Atresia

Definition

Partial or complete obstruction of the duodenum (upper gut)
Incidence 0.1:1000
Diagnosis Ultrasound with classic "Double-Bubble" appearance with/without polyhydramnios
Gestation at diagnosis Generally only after 20 weeks or in the early third trimester
Known chromosomal or genetic association Yes, Chromosomal 30% (Trisomy 21). 50% of the remaining will have other  defects (VSD or Tetrallogy of Fallot)
Further investigations Karyotype
Differential Diaganosis

Mesenteric Cyst

Jejunal Atresia

Choledochal cyst

Prognosis Excellent if isolated (95% following surgery)
Recurrance risk Low
Research Studies  

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