Single balloon dilation of symptomatic duodenal web: Long-term success
| Autor: | Gustavo Stringel, Sam McCabe, Jared Meshekow, G. Rozenblit, Shekher Maddineni |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty medicine.medical_treatment Post-Procedure Balloon dilatation Perforation (oil well) lcsh:Surgery Balloon Asymptomatic 03 medical and health sciences 0302 clinical medicine medicine Duodenal Web Congenital gastrointestinal obstruction Congenital duodenal obstruction medicine.diagnostic_test business.industry lcsh:RJ1-570 Interventional radiology lcsh:Pediatrics lcsh:RD1-811 Surgery 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Balloon dilation 030211 gastroenterology & hepatology medicine.symptom business Duodenal web |
| Zdroj: | Journal of Pediatric Surgery Case Reports, Vol 61, Iss, Pp 101594-(2020) |
| ISSN: | 2213-5766 |
| Popis: | Duodenal webs in neonates and infants have been traditionally managed with open or laparoscopic surgery. Surgical management has been associated with high morbidity and mortality and prolonged length of stay. Other treatments include endoscopic resection of the web with cautery or laser energy. This modality carries a high risk of perforation. Endoscopic balloon dilatation has been recently reported with good clinical outcome. Most of the patients reported in the literature required serial balloon dilatations to achieve resolution of the symptoms. We report a 10-month-old infant with duodenal obstruction secondary to a congenital duodenal web. He was successfully managed with a single high-pressure balloon dilatation using an interventional radiology technique. He tolerated liquid diet on day 2 post procedure and was discharged home on day 3. He has remained asymptomatic after 4 years of follow-up. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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