{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:21:24Z","timestamp":1787844084475,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Gastrointestinal (GI) duplications are rare congenital malformations with diverse presentations. They usually present in the pediatric age, especially in the first 2 years of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To present our experience with GI duplication (cysts) at a pediatric surgery tertiary care teaching institute.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>It is a retrospective observational study undertaken in the department of pediatric surgery at our center between 2012 and 2022 for GI duplications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>All children were analyzed for their age, sex, presentation, radiological evaluation, operative management, and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Thirty-two patients were diagnosed with GI duplication. Slight male predominance was present in the series (M: F \u2248 4:3). Fifteen (46.88%) patients presented in the neonatal age group; 26 (81.25%) patients were under 2 years. In the majority of cases (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 23, 71.88%), the presentation was acute onset. Double duplication cysts on opposite sides of the diaphragm were present in one case. The most common location was ileum (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 17), followed by gallbladder (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 6), appendix (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), gastric (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), jejunum (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), esophagus (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), ileocecal junction (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), duodenum (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), sigmoid (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), and anal canal (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). Multiple associations (malformations\/surgical pathologies) were present. Intussusception (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 6) was the most common, followed by intestinal atresia (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 5), anorectal malformation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), abdominal wall defect (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), hemorrhagic cyst (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), Meckel's diverticulum (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), and sacrococcygeal teratoma (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). Four cases were associated with intestinal volvulus, three cases with intestinal adhesions, and two with intestinal perforation. Favorable outcomes were present in 75% of cases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>GI duplications have varied presentations depending on site, size, type, local mass effect, mucosal pattern, and associated complications. The importance of clinical suspicion and radiology cannot be underrated. Early diagnosis is required to prevent postoperative complications. Management is individualized as per the type of duplication anomaly and its relation with the involved GI tract.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_108_22","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T02:50:40Z","timestamp":1693882240000},"page":"128-136","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Gastrointestinal Duplications"],"prefix":"10.4103","volume":"28","author":[{"given":"Rahul","family":"Gupta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liladhar","family":"Agrawal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Bhandari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun Kumar","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram Babu","family":"Goyal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-7-20240905","doi-asserted-by":"crossref","first-page":"39","DOI":"10.4103\/fjs.fjs_137_20","article-title":"Duplications of the alimentary tract in infants and children","volume":"54","author":"Keshri","year":"2021","journal-title":"Formos J Surg"},{"key":"R2-7-20240905","doi-asserted-by":"crossref","first-page":"1924","DOI":"10.1016\/j.jpedsurg.2006.06.002","article-title":"Triplication of colon with diphallus and complete duplication of bladder and urethra","volume":"41","author":"Sarin","year":"2006","journal-title":"J Pediatr Surg"},{"key":"R3-7-20240905","doi-asserted-by":"crossref","first-page":"5","DOI":"10.21699\/jns.v5i4.432","article-title":"Gastrointestinal duplication presenting as neonatal intestinal obstruction: An experience of 15 years at tertiary care centre","volume":"6","author":"Rattan","year":"2017","journal-title":"J Neonatal Surg"},{"key":"R4-7-20240905","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1007\/s12262-008-0082-0","article-title":"Intestinal duplication","volume":"70","author":"Ramakrishna","year":"2008","journal-title":"Indian J Surg"},{"key":"R5-7-20240905","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1007\/s13244-018-0660-z","article-title":"Enteric duplication cysts in children: Varied presentations, varied imaging findings","volume":"9","author":"Sang\u00fcesa Nebot","year":"2018","journal-title":"Insights Imaging"},{"key":"R6-7-20240905","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/jpsu.2003.50197","article-title":"Gastrointestinal duplications","volume":"38","author":"Puligandla","year":"2003","journal-title":"J Pediatr Surg"},{"key":"R7-7-20240905","doi-asserted-by":"crossref","first-page":"52","DOI":"10.21699\/jns.v5i4.467","article-title":"Neonatal intestinal obstruction: When to suspect duplication cyst of bowel as the cause","volume":"5","author":"Khan","year":"2016","journal-title":"J Neonatal Surg"},{"key":"R8-7-20240905","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1007\/s00247-004-1146-3","article-title":"Gastric duplication cyst causing gastric outlet obstruction","volume":"34","author":"Master","year":"2004","journal-title":"Pediatr Radiol"},{"key":"R9-7-20240905","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1016\/S0022-3468(98)90159-2","article-title":"Vascular classification for small intestinal duplications: Experience with 80 cases","volume":"33","author":"Li","year":"1998","journal-title":"J Pediatr Surg"},{"key":"R10-7-20240905","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.1016\/j.jpedsurg.2004.04.040","article-title":"Isolated enteric duplication cysts","volume":"39","author":"Menon","year":"2004","journal-title":"J Pediatr Surg"},{"key":"R11-7-20240905","doi-asserted-by":"crossref","first-page":"276","DOI":"10.4103\/0189-6725.137344","article-title":"Noncommunicating multiple intra-abdominal enteric duplication cysts","volume":"11","author":"Mandham","year":"2014","journal-title":"Afr J Paediatr Surg"},{"key":"R12-7-20240905","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1177\/107327481602300213","article-title":"Pathology report: Presacral noncommunicating enteric duplication cyst","volume":"23","author":"Seydafkan","year":"2016","journal-title":"Cancer Control"},{"key":"R13-7-20240905","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/00000658-198902000-00006","article-title":"Surgical management of alimentary tract duplications","volume":"209","author":"Holcomb","year":"1989","journal-title":"Ann Surg"},{"key":"R14-7-20240905","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1002\/bjs.1800820126","article-title":"Management of alimentary tract duplication in children","volume":"82","author":"Stringer","year":"1995","journal-title":"Br J Surg"},{"key":"R15-7-20240905","doi-asserted-by":"crossref","first-page":"330","DOI":"10.4103\/0189-6725.143146","article-title":"Alimentary tract duplications in children: Report of 16 years' experience","volume":"11","author":"Zouari","year":"2014","journal-title":"Afr J Paediatr Surg"},{"key":"R16-7-20240905","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1148\/radiographics.13.5.8210590","article-title":"Gastrointestinal tract duplications: Clinical, pathologic, etiologic, and radiologic considerations","volume":"13","author":"Macpherson","year":"1993","journal-title":"Radiographics"},{"key":"R17-7-20240905","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1007\/BF02013165","article-title":"Enteric duplication cysts in children: Are their ultrasonographic wall characteristics diagnostic?","volume":"20","author":"Barr","year":"1990","journal-title":"Pediatr Radiol"},{"key":"R18-7-20240905","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1111\/jgh.12903","article-title":"Education and imaging. Gastroenterology: Revisiting the forgotten sign: Five layered gut signature and Y configuration in enteric duplication cysts on high resolution ultrasound","volume":"30","author":"Kumar","year":"2015","journal-title":"J Gastroenterol Hepatol"},{"key":"R19-7-20240905","doi-asserted-by":"crossref","first-page":"1938","DOI":"10.1016\/j.jpedsurg.2007.08.004","article-title":"Computed tomography diagnosis of symptomatic right paraduodenal hernia associated with enteric duplication cyst","volume":"42","author":"Prada-Arias","year":"2007","journal-title":"J Pediatr Surg"},{"key":"R20-7-20240905","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/RLU.0b013e318162dd9f","article-title":"Intestinal duplication mimicking Meckel diverticulum","volume":"33","author":"Alenizi","year":"2008","journal-title":"Clin Nucl Med"},{"key":"R21-7-20240905","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1053\/spsu.2000.7565","article-title":"Gastrointestinal duplications","volume":"9","author":"Stern","year":"2000","journal-title":"Semin Pediatr Surg"},{"key":"R22-7-20240905","doi-asserted-by":"crossref","first-page":"14","DOI":"10.47338\/jns.v5.281","article-title":"Gallbladder duplication associated with gastro-intestinal atresia","volume":"5","author":"Gupta","year":"2016","journal-title":"J Neonatal Surg"},{"key":"R23-7-20240905","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/0002-9610(67)90372-8","article-title":"Anatomy and embryology of congenital intrinsic obstruction of the duodenum","volume":"114","author":"Boyden","year":"1967","journal-title":"Am J Surg"},{"key":"R24-7-20240905","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1053\/jpsu.2001.26400","article-title":"Unusual duplication of appendix and cecum: Extension of the Cave-Wallbridge classification","volume":"36","author":"Kim","year":"2001","journal-title":"J Pediatr Surg"},{"key":"R25-7-20240905","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.jcol.2019.04.003","article-title":"Congenital abnormalities and anatomical variations of the vermiform appendix and mesoappendix","volume":"39","author":"Vieira","year":"2019","journal-title":"J Coloproctol (Rio J"},{"key":"R26-7-20240905","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1002\/bjs.18005022124","article-title":"Double appendix","volume":"50","author":"Wallbridge","year":"1962","journal-title":"Br J Surg"},{"key":"R27-7-20240905","first-page":"283","article-title":"Appendix vermiformis duplex","volume":"70","author":"Cave","year":"1936","journal-title":"J Anat"},{"key":"R28-7-20240905","first-page":"1059","article-title":"Double appendicitis \u2013 A rare pathologic entity","volume":"64","author":"Biermann","year":"1993","journal-title":"Chirurg"},{"key":"R29-7-20240905","doi-asserted-by":"crossref","first-page":"391","DOI":"10.12998\/wjcc.v2.i8.391","article-title":"Appendicitis in double cecal appendix: Case report","volume":"2","author":"Alves","year":"2014","journal-title":"World J Clin Cases"},{"key":"R30-7-20240905","doi-asserted-by":"crossref","first-page":"336","DOI":"10.4103\/2303-9027.190918","article-title":"Endoscopic ultrasonography and rectal duplication cyst in an adult","volume":"6","author":"Castro-Po\u00e7as","year":"2017","journal-title":"Endosc Ultrasound"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_108_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:05:04Z","timestamp":1787843104000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_108_22"}},"subtitle":["A Decade's Experience"],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_108_22","relation":{},"ISSN":["0971-9261"],"issn-type":[{"value":"0971-9261","type":"print"}],"subject":[],"published":{"date-parts":[[2023,3]]}}}