Endoscopic operation in the treatment of congenital duodenal membranous stenosis
10.3760/cma.j.issn.1671-0274.2015.08.022
- VernacularTitle:内镜手术治疗先天性十二指肠膜式狭窄
- Author:
Chihuan KONG
1
;
Long LI
;
Ning DONG
;
Xu LI
;
Yanling ZHANG
Author Information
1. 首都儿科研究所外科
- Keywords:
Duodenal diaphragm;
Membranous duodenal stenosis;
Intestinal obstruction;
Endoscopic treatment;
Children
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(8):801-803
- CountryChina
- Language:Chinese
-
Abstract:
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.
