Small bowel duplication cyst in the pediatric population—when to operate?
2025

When to Operate on Small Bowel Duplication Cysts in Children?

Sample size: 16 publication Evidence: moderate

Author Information

Author(s): Yael Dreznik, Anastasia Almog, Maya Paran, Osnat Konen, Dragan Kravarusic

Primary Institution: Schneider Children’s Medical Center of Israel

Hypothesis

What is the optimal timing for surgery in patients with small bowel duplications?

Conclusion

Asymptomatic, small duplication cysts in pediatric patients can be managed expectantly and operated on after the first year of age.

Supporting Evidence

  • 16 patients underwent laparoscopic-assisted resection of small bowel duplication.
  • Elective surgery patients had significantly smaller duplications compared to non-elective patients.
  • Post-operative recovery was satisfactory in all patients with an average hospital stay of 6 days.

Takeaway

Doctors found that kids with small bowel duplication cysts can wait until they're older than one year for surgery if they're not having any problems.

Methodology

A retrospective cohort study of patients under 18 diagnosed with small bowel duplications from 2013 to 2024.

Limitations

The study is retrospective and observational in nature.

Participant Demographics

16 patients (9 boys, 7 girls) under 18 years old.

Statistical Information

P-Value

0.0014

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1007/s00383-024-05959-8

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