{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T11:06:38Z","timestamp":1771931198803,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2008,10,6]],"date-time":"2008-10-06T00:00:00Z","timestamp":1223251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine whether the pre\u2010 or postnatal diagnosis of either isolated or non\u2010isolated duodenal obstruction (DO) is associated with different outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010center retrospective analysis was carried out of 91 cases diagnosed with a DO between January 1991 and June 2003. Data on the diagnosis, treatment and outcomes of the cases were gathered, and differences between the groups were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010eight cases of DO were diagnosed before and 63 after birth. Of 15 presumed isolated cases in the prenatally diagnosed group, four revealed associated or chromosomal anomalies after birth. The types of obstruction present were significantly different between the prenatally (<jats:italic>n<\/jats:italic> = 11) and postnatally (<jats:italic>n<\/jats:italic> = 27) detected subsets of isolated DO. The prenatally detected subset displayed a lower median gestational age at delivery, lower median birth weight and a higher prematurity rate (8\/11 vs. 8\/27). The diagnosis of DO occurred significantly later in the postnatally detected subset than the postnatal confirmation of the diagnosis in the prenatally detected cases. In the non\u2010isolated cases of DO, no difference was found in the type of chromosomal or associated anomaly or the type of obstruction between the prenatally detected (<jats:italic>n<\/jats:italic> = 17) and postnatally detected subsets (<jats:italic>n<\/jats:italic> = 36). Trisomy 21 was present in 7\/17 (41%) vs. 22\/36 (61%) cases, respectively. Two terminations and three intrauterine deaths occurred in the prenatal non\u2010isolated subset. The liveborn infants from the prenatally detected non\u2010isolated subset (<jats:italic>n<\/jats:italic> = 12) showed a significantly higher prematurity rate (9\/12 vs.14\/36), lower median birth weight and earlier confirmation of diagnosis after delivery. After surgery, outcome was similar between both subsets of isolated and non\u2010isolated DO. All the infants with an isolated DO survived. Neonatal death occurred in three prenatally and five postnatally diagnosed cases with non\u2010isolated DO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The outcome of prenatally and postnatally diagnosed DO is not essentially different despite more prematurity and a lower birth weight in the former. Of the prenatally detected cases of DO assumed to be isolated, 25% revealed additional chromosomal or associated anomalies after delivery, which influenced outcome. Copyright \u00a9 2008 ISUOG. Published by John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.6135","type":"journal-article","created":{"date-parts":[[2008,10,6]],"date-time":"2008-10-06T12:46:41Z","timestamp":1223297201000},"page":"784-792","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Isolated or non\u2010isolated duodenal obstruction: perinatal outcome following prenatal or postnatal diagnosis"],"prefix":"10.1002","volume":"32","author":[{"given":"T. E.","family":"Cohen\u2010Overbeek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. W. M.","family":"Grijseels","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. D.","family":"Niemeijer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. C. J.","family":"Hop","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. W.","family":"Wladimiroff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Tibboel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,10,6]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-30158"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003839900322"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/pd.341"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(89)80208-8"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2006.02.005"},{"key":"e_1_2_5_7_2","first-page":"187","article-title":"Zur Entwicklungsgeschichte des menschlichen Duodenums","volume":"29","author":"Tandler J","year":"1902","journal-title":"Morphol Jahrb"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2002.00831.x"},{"key":"e_1_2_5_9_2","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1016\/S0016-5085(76)80277-6","article-title":"Development of the human gastrointestinal tract. A review","volume":"70","author":"Grand RJ","year":"1976","journal-title":"Gastroenterology"},{"key":"e_1_2_5_10_2","first-page":"739","article-title":"Prenatal diagnosis of duodenal atresia: does it make any difference?","volume":"71","author":"Romero R","year":"1988","journal-title":"Obstet Gynecol"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(88)90024-5"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-004-1235-2"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1970130713"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658696"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-004-1236-1"},{"key":"e_1_2_5_16_2","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1111\/j.1471-0528.1999.tb08148.x","article-title":"Intrinsic duodenal obstruction: trends in management and outcome over 45 years (1951\u20131995) with relevance to prenatal counselling","volume":"106","author":"Murshed R","year":"1999","journal-title":"Br J Obstet Gynaecol"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1993.tb14305.x"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1991.tb11945.x"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2007.00826.x"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.4.e335"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1970130711"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70042-X"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e3180cac25d"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.2.372"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.7.843"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-004-1140-8"},{"key":"e_1_2_5_27_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.5.490"},{"key":"e_1_2_5_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1997.tb15177.x"},{"key":"e_1_2_5_29_2","first-page":"459","article-title":"Down's syndrome, duodenal stenosis\/annular pancreas, and a stack of coins","volume":"142","author":"Stanley P","year":"1988","journal-title":"Am J Dis Child"},{"key":"e_1_2_5_30_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1996.07060450.x"},{"key":"e_1_2_5_31_2","first-page":"225","article-title":"Oesophageal and duodenal atresia suspected at the 12 week booking scan","volume":"108","author":"Dundas KC","year":"2001","journal-title":"BJOG"},{"key":"e_1_2_5_32_2","doi-asserted-by":"publisher","DOI":"10.7863\/jum.1994.13.5.375"},{"key":"e_1_2_5_33_2","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1970141105"},{"key":"e_1_2_5_34_2","doi-asserted-by":"publisher","DOI":"10.1159\/000263657"},{"key":"e_1_2_5_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00499460"},{"key":"e_1_2_5_36_2","doi-asserted-by":"publisher","DOI":"10.1159\/000082435"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.6135","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.6135","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T08:01:16Z","timestamp":1696665676000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.6135"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,10,6]]},"references-count":35,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2008,11]]}},"alternative-id":["10.1002\/uog.6135"],"URL":"https:\/\/doi.org\/10.1002\/uog.6135","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,10,6]]},"assertion":[{"value":"2008-03-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2008-10-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}