内镜下治疗双十二指肠网:一例罕见的消化道异常。

IF 1.7 Q2 PEDIATRICS Clinical Medicine Insights-Pediatrics Pub Date : 2023-01-01 DOI:10.1177/11795565231186895
Andrew Sundin, Carlos T Huerta, Jennifer Nguyen, Ann-Christina Brady, Anthony R Hogan, Eduardo A Perez
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引用次数: 0

摘要

十二指肠网是一种罕见的临床实体,双十二指肠网的表现是非常罕见的。传统上,十二指肠网的处理包括十二指肠网切除术和十二指肠吻合术,通常通过腹腔镜或开放方法进行。我们报告的情况下,一个6个月大的孩子谁提出了渐进式恶化胆汁呕吐与影像学发现有关的十二指肠网。内镜检查发现在十二指肠第四部分有2个腹膜。这些都是在内窥镜下用球囊扩张处理的。虽然手术是治疗十二指肠网的主要方法,但该患者通过内窥镜干预成功治疗,而无需开放或腹腔镜切除,这在以前的双十二指肠网治疗中尚未见报道。这项工作证明了内窥镜治疗婴儿这种异常的安全性和有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Endoscopic Management of a Double Duodenal Web: A Case Report of a Rare Alimentary Anomaly.

Duodenal webs are a rare clinical entity with the presentation of a double duodenal web being exceedingly uncommon. Management of duodenal webs traditionally involves duodenal web excision with duodenoduodenostomy, which is usually performed via a laparoscopic or an open approach. We report the case of a 6-month-old child who presented with progressively worsening bilious emesis with imaging findings concerning for a duodenal web. Endoscopic evaluation was performed that identified 2 webs in the fourth portion of the duodenum. These were managed completely endoscopically with balloon dilation. Although surgery is the mainstay of treatment of duodenal webs, this patient was successfully managed by endoscopic intervention without the need for open or laparoscopic excision, which has not been previously described for double duodenal webs. This work demonstrates the safety and efficacy of endoscopic management for infants with this anomaly.

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