Intestinal Anastomoses in Small Children: Is There a Higher Risk?

Weih, Sandra; Jung, Ve; Romero, Philipp; Chmelnik, Martin; Holland‐Cunz, Stefan

doi:10.1097/mpg.0b013e3181d9c6bb

Cited by 2 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 10 , 11 Complications of these more invasive methods can include anastomotic leak and stenosis with open procedures, resulting in longer hospitalization, patient recovery time, and greater resource utilization. 12 Endoscopic management in our patient’s case avoided the morbidity and complication profile associated with surgical resection of duodenal webs. However, there are limitations in performing a successful endoscopic recanalization of a duodenal web using this technique.…”

Section: Discussionmentioning

confidence: 69%

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

Sundin

Huerta

Nguyen

et al. 2023

Clin Med Insights Pediatr

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 69%