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[Endoscopic operation in the treatment of congenital duodenal membranous stenosis]
Chihuan Kong1, Long Li, Ning Dong
1Department of Surgery, Capital Institute of Pediatrics, Beijing 100020, China. lilong23@126.com.
Insights
Endoscopic duodenal valvectomy offers a safe and effective treatment for congenital duodenal membranous stenosis in children. This minimally invasive procedure successfully relieved duodenal obstruction with rapid recovery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Minimally Invasive Endoscopy
Background:
- Congenital duodenal membranous stenosis is a rare condition causing significant gastrointestinal obstruction in infants and children.
- Traditional surgical approaches can be invasive, carrying risks of complications and prolonged recovery.
Purpose of the Study:
- To evaluate the safety and efficacy of endoscopic duodenal valvectomy for treating congenital duodenal membranous stenosis.
- To assess the feasibility of this minimally invasive technique in pediatric patients.
Main Methods:
- Retrospective analysis of clinical data from two pediatric patients with congenital duodenal membranous stenosis.
- Procedure performed using MicroKnife XL and CRE balloon catheter via a 9 mm flexible endoscope.
- Detailed documentation of operative procedures, recovery, and short-term outcomes.
Main Results:
- Successful relief of duodenal obstruction in both patients following endoscopic duodenal valvectomy.
- No postoperative perforations observed on X-ray.
- Rapid recovery demonstrated by early ambulation, oral intake, and diet advancement.
- Significant weight gain and improved nutritional status at one-month follow-up.
Conclusions:
- Endoscopic duodenal valvectomy is a feasible and effective treatment modality for congenital duodenal membranous stenosis.
- This minimally invasive approach offers a favorable safety profile and promotes faster patient recovery compared to open surgery.
Objective:
To investigate the safety and efficacy of endoscopic duodenal valvectomy in the treatment of congenital duodenal membranous stenosis.
Methods:
Clinical data of two children with congenital duodenal membranous stenosis undergoing endoscopic duodenal valvectomy in our institute within October 2014 were analyzed retrospectively. This procedure was performed with Microknife XL and CRE balloon catheter through porous channel in the 9 mm flexible endoscope.
Results:
The first case was a 2-year-old boy who received two endoscopic operations including duodenal diaphragm resection and duodenal dilatation because of incision retraction. The second case was a 19-month-old gril who received once endoscopic duodenal valvectomy. Duodenal obstruction of these two children was relieved after operation. Postoperative x-rays showed no perforation. They could play in the floor 6 hours after operation without any complains, drink water 12 hours, take liquid diets 2 days and half solid food 3 days after operation. During follow-up a month after operation, the body weight gained was 1.5 and 1.0 kg respectively, and the dietary components was significantly improved.
Conclusion:
Endoscopic duodenal valvectomy is feasible and effective in the treatment of congenital duodenal membranous stenosis.
