Endoscopic membranectomy for congenital duodenal stenosis in an infant

Okamatsu, Takao; Arai, Kazushige; Yatsuzuka, Masashi; Ishikawa, Masami; Matsumura, Mai; Okamoto, Shinnya; Gomi, Akira; Suzuki, Makoto; Kanno, Sotaro

doi:10.1016/s0022-3468(89)80271-4

Cited by 48 publications

(24 citation statements)

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“…There are very few reports about the IT-knife in children, however. [2][3][4] We report a case of a duodenal web in a Down syndrome child that caused duodenal stenosis, in which the duodenal web was directly excised with an IT-knife without complications.…”

Section: Introductionmentioning

confidence: 99%

A Case of Congenital Duodenal Web Causing Duodenal Stenosis in a Down Syndrome Child: Endoscopic Resection with an Insulated-Tip Knife

Lee¹,

Hwang²,

Jang³

et al. 2011

Gut Liver

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A 35-month-old girl visited our hospital with repetitive vomiting and abdominal distention; this was especially aggravated after the introduction of solid and semisolid foods. At 5 months of age, the patient, who had Down's syndrome, had undergone surgery for ventricular septal defect, atrial septal defect, and patent ductus arteriosus, and had subsequently been frequently hospitalized for respiratory infections and other viral infectious diseases. After her admission, the abdominal distension improved with fasting and intravenous fl uid therapy. Radiograph from a small-bowel series revealed a thin fi lling defect with a dilated duodenal bulb in the distal region of the second portion of the duodenum, suggesting a duodenal web, and endoscopy revealed duodenal stenosis. We therefore performed endoscopic resection with an insulated-tip knife because of the history of prior operations, fasting problems after operations, and respiratory infections. Seven days later, scar formation was noted on the second portion of the duodenum, the scope passed well at the excision site, and no retained food material was noted on the follow-up endoscopy. After the procedure, the patient's abdominal distention and repetitive vomiting subsided, and she was discharged with the ability to eat eat an ageappropriate normal diet. There were no specifi c symptoms or other complications for 1 year after the procedure. (Gut Liver 2011;5:105-109)

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Section: Introductionmentioning

confidence: 99%

A Case of Congenital Duodenal Web Causing Duodenal Stenosis in a Down Syndrome Child: Endoscopic Resection with an Insulated-Tip Knife

Lee¹,

Hwang²,

Jang³

et al. 2011

Gut Liver

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show abstract

“…This minimally invasive method of management avoids any noticeable scars and avoids intra-abdominal manipulation that may result in adhesion formation. In 1989, Okamatsu et al [3] initially reported excision of the duodenal septum by gastroscopic electrocauterization. Later, some clinicians reported septal resection using traditional high-frequency electrocoagulation, laser ablation and insulation knife resection via the gastroscope [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

Gastroscopic treatment of membranous duodenal stenosis in infants and children: Report of 6 cases

Huang

Bian

Liang

et al. 2015

Journal of Pediatric Surgery

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“…However, as techniques of endoscopic surgery and instruments improve, endoscopy has been developed as less invasive, more cosmetic approach. In 1989, Okamatsu et al [3] reported the first case of congenital duodenal stenosis, which was successfully treated with endoscopic membranectomy using high-frequency-wave cutter. In 1992, Kay et al [4] introduced endoscopic laser ablation for congenital duodenal webs in newborns.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic membranectomy with a high-frequency–wave snare/cutter for membranous stenosis in the upper gastrointestinal tract

Nose

Kubota

Kawahara

et al. 2005

Journal of Pediatric Surgery

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Endoscopic membranectomy for congenital duodenal stenosis in an infant

Cited by 48 publications

References 0 publications

A Case of Congenital Duodenal Web Causing Duodenal Stenosis in a Down Syndrome Child: Endoscopic Resection with an Insulated-Tip Knife

A Case of Congenital Duodenal Web Causing Duodenal Stenosis in a Down Syndrome Child: Endoscopic Resection with an Insulated-Tip Knife

Gastroscopic treatment of membranous duodenal stenosis in infants and children: Report of 6 cases

Endoscopic membranectomy with a high-frequency–wave snare/cutter for membranous stenosis in the upper gastrointestinal tract

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