Endoscopic Treatment for Congenital Duodenal Membranous Stenosis : A Case Report With a Review of the Literature

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  • 先天性十二指腸膜様狭窄に対して内視鏡的膜切開・拡張術を施行した1例
  • 症例報告 先天性十二指腸膜様狭窄に対して内視鏡的膜切開・拡張術を施行した1例
  • ショウレイ ホウコク センテンセイ ジュウニシチョウ マクヨウ キョウサク ニ タイシテ ナイシキョウテキ マク セッカイ カクチョウジュツ オ シコウシタ 1レイ

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Abstract

A 16-month-old boy with intractable emesis was transferred to our institute. He had a history of occasional vomiting since infancy. A contrast study showed duodenal stenosis at the second portion of the duodenum. Endoscopy revealed a duodenal membrane with a small opening. The papilla of Vater was not identified proximal to the stenosis. The membrane was cloven open using a high-frequency wave cutter in two radiate directions and subsequent balloon dilatation (12 mm in diameter) was added uneventfully. Although he had been free from emesis with his regular diet, after 2 months vomiting recurred. Diamond shaped duodenoduodenostomy finally cured the child. Endoscopic strategy for congenital duodenal stenosis is controversial. We discussed pros and cons of endoscopic treatments for duodenal diaphragm with a review of the literature.

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