{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:52:13Z","timestamp":1783644733863,"version":"3.55.0"},"reference-count":17,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Pediatrics"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p><jats:italic>Background\/Purpose<\/jats:italic>. Kimura's diamond-shaped-duodenoduodenostomy (DSD) is a known technique for the correction of congenital intrinsic duodenal obstruction. We present a modification of the technique and review the advantages of this new technique.<jats:italic>Methods<\/jats:italic>. From 1992 to 2006, 14 newborns were treated for duodenal atresia. We inverted the direction of the duodenal incisions: a longitudinal incision was made in the proximal duodenum while the distal was opened by transverse incision.<jats:italic>Results<\/jats:italic>. Our \u201cinverted-diamond-shaped-duodenoduodenostomy\u201d (i-DSD) allowed postoperative oral feeding to start on days 2 to 3, peripheral intravenous fluids discontinuity on days 3 to 8 (median values 3.6); time to achieve full oral feeds on days 8 to 12 (median values 9.4); the length of hospitalisation ranged from 10 and 14 days (median value 11.2). No complications related to the anastomosis, by Viz leakage, dehiscence, biliary stasis, or stenosis were observed.<jats:italic>Conclusions<\/jats:italic>. The i-DSD provides a safe procedure to protect the ampulla of Vater from injury and avoids any formation of a blind loop. The results show that patients who have i-DSD achieve full oral feeds in a very short time period and, consequently, the length of hospitalisation is also significantly reduced.<\/jats:p>","DOI":"10.1155\/2009\/175963","type":"journal-article","created":{"date-parts":[[2009,6,4]],"date-time":"2009-06-04T13:55:29Z","timestamp":1244123729000},"page":"1-5","source":"Crossref","is-referenced-by-count":6,"title":["The Modified Kimura's Technique for the Treatment of Duodenal Atresia"],"prefix":"10.1155","volume":"2009","author":[{"given":"Biagio","family":"Zuccarello","sequence":"first","affiliation":[{"name":"Pediatric and Neonatal Surgery Unit, Department of Medical and Surgical Pediatrics, University of Messina, Policlinico Universitario G. 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