Single balloon dilation of symptomatic duodenal web: Long-term success

Maddineni, Shekher; Stringel, Gustavo; Rozenblit, Grigory; Meshekow, Jared; McCabe, Sam

doi:10.1016/j.epsc.2020.101594

Cited by 1 publication

(2 citation statements)

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“…Reports of endoluminal therapy for duodenal lesions in pediatric patients are growing and appear effective in the hands of experienced advanced endoscopists (2–9). Goring et al reported a 2‐center case series of 15 pediatric patients (7).…”

Section: Discussionmentioning

confidence: 99%

“…Surgical intervention increases the patient's risk of surgical complications, including wound infection, anastomotic leakage, hepatobiliary injury, intestinal adhesions, and ventral hernias (1). With the recent advancement of endoscopic therapy, including balloon dilation and endoscopic incisional therapy (EIT), advanced endoscopists can offer endoluminal treatment for duodenal anomalies in children with reduced recovery time (2) while avoiding potential postsurgical complications (1)(2)(3)(4)(5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

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Avoiding Surgery: Endoscopic Treatment of Congenital Duodenal Stenosis

Baran,

Brown,

Rivera-Nieves

et al. 2023

JPGN Reports

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Duodenal stenosis is a rare congenital anomaly that is typically treated surgically, although endoscopic incisional therapy (EIT) and balloon dilation are minimally invasive alternatives. We present a case of a 15-month-old male with vomiting and difficulty tolerating solid food due to severe congenital duodenal stenosis. The patient underwent EIT and serial duodenal dilation to a diameter of 20 mm, which resulted in significant symptom improvement. Intralesional corticosteroid injection (ISI) was administered to help prevent the duodenal septum from restricturing. The combination of EIT, balloon dilation, and ISI was successful in treating the patient’s congenital duodenal stenosis and avoided the need for surgery. However, further studies are required to confirm the efficacy of this treatment approach in this patient population. This report highlights the potential of this minimally invasive approach as an alternative to surgical intervention in the management of congenital duodenal stenosis.

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Section: Discussionmentioning

confidence: 99%