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Avoiding Surgery: Endoscopic Treatment of Congenital Duodenal Stenosis

Jessica V Baran1,2, Jerry M Brown1,2, Desiree Rivera-Nieves2

  • 1From the Office of Medical Education, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, FL.

JPGN Reports
|November 30, 2023
PubMed

Insights

This study presents a minimally invasive treatment for congenital duodenal stenosis in a child, successfully using endoscopic incisional therapy (EIT) and balloon dilation. The approach avoided surgery and improved symptoms, though further research is needed.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Congenital duodenal stenosis is a rare condition often requiring surgical intervention.
  • Minimally invasive endoscopic options like endoscopic incisional therapy (EIT) and balloon dilation are alternatives.

Observation:

  • A 15-month-old male presented with vomiting and feeding difficulties due to severe congenital duodenal stenosis.
  • The patient underwent EIT and serial duodenal dilation to 20 mm.

Findings:

  • The combined treatment of EIT, balloon dilation, and intralesional corticosteroid injection (ISI) significantly improved the patient's symptoms.
  • This minimally invasive approach successfully treated the congenital duodenal stenosis, obviating the need for surgery.

Implications:

  • This case suggests that a combination of EIT, balloon dilation, and ISI may be an effective alternative to surgery for congenital duodenal stenosis.
  • Further studies are warranted to validate this minimally invasive treatment strategy in a larger patient cohort.

Keywords:
endoscopic balloon dilationendoscopyintralesional corticosteroid injectionmembranous duodenal webradial incisional therapy

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