Purpose Enteric duplication cysts (EDCs) are rare congenital anomalies of the gastrointestinal tract. This study aimed to delineate the clinical, anatomical, and pathological spectrum of EDCs based on a 40-year single-center experience.
Methods A retrospective review was conducted of 45 pediatric patients who underwent surgical treatment for EDCs at a single institution between 1985 and 2023. Clinical records, imaging studies, and pathological reports were analyzed.
Results The study included 28 males and 17 females, with a median age at surgery of 4.7 months. Most patients (75.6%) underwent surgery before 2 years of age. The ileum was the most common location (57.8%), followed by the jejunum (11.1%) and ileocecal valve (11.1%). Vomiting (46.7%) was the most common presenting symptom. Emergency surgery was required in 28.9% of cases because of complications such as volvulus or intussusception. Preoperative imaging using ultrasonography (US) and/or computed tomography resulted in a correct diagnosis in 34 of 45 patients (75.6%), with EDCs correctly identified in 30 patients (66.7%), frequently based on the characteristic “double wall sign” observed on US. Histopathological examination identified heterotopic gastric mucosa in 61.4% of evaluable cases. Postoperative outcomes were generally favorable, with a median hospital stay of 7.5 days.
Conclusion EDCs are rare congenital anomalies that are primarily diagnosed during early childhood. The ileum is the most frequent site of involvement, and clinical presentation is often related to acute complications. Prompt and complete surgical excision remains the definitive treatment and leads to favorable short-term postoperative outcomes, with no recurrence observed during the available follow-up period.
Hee-Beom Yang, Soo Min Ahn, Min Jeng Cho, Yong-Hoon Cho, Soo Jin Na Choi, Yoon Mi Choi, Jae Hee Chung, Seok Joo Han, In Geol Ho, Jeong Hong, Kyong Ihn, Yeon Jun Jeong, Eunyoung Jung, Dae Youn Kim, Hae-Young Kim, Ki Hoon Kim, Seong Chul Kim, Soo-Hong Kim, Eun-Jung Koo, Hyun Hee Kwon, Yong Jae Kwon, Nam-Hyuk Lee, Ju Yeon Lee, Sanghoon Lee, Jung-Man Namgoong, Chaeyoun Oh, Jung-Tak Oh, Jin Young Park, Junbeom Park, Jeong-Meen Seo, Jae Ho Shin, Hyun Beak Shin, Joohyun Sim, Jiyoung Sul, Joon Kee Youn, Hyun-Young Kim
Adv Pediatr Surg 2025;31(2):66-76. Published online November 25, 2025
Purpose To report a nationwide survey on neuroblastoma conducted by the Korean Association of Pediatric Surgeons (KAPS) in 2020.
Methods The clinical data of pediatric patients diagnosed with and treated for neuroblastoma from 2005 to 2019 in 19 hospitals of KAPS members were collected. Survival and prognostic factor analyses were performed using the log rank test and Cox proportional hazard analysis. A p-value <0.05 was considered significant.
Results A total of 669 patients with neuroblastoma were registered for the study. The results were presented and discussed at the 36th annual meeting of the KAPS, which was held in Seoul on August 21, 2020.
Conclusion This study provides information on patient demographics, prognostic outcomes, and comprehensive treatment outcomes for neuroblastoma. The study is expected to be an important reference for improving pediatric surgeons’ understanding and treatment of neuroblastoma.
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