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...

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Published in:Clinical Medicine Insights: Pediatrics pp. 1 - 5
Main Authors: Sundin, Andrew, Huerta, Carlos T, Nguyen, Jennifer, Brady, Ann-Christina, Hogan, Anthony R, Perez, Eduardo A
Format: case study diagnostic images pictorial Journal Article
Published: Sage Publications Inc. 7/29/2023
Online Access:View this record in EBSCOhost
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      jtl: Clinical Medicine Insights: Pediatrics
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      dt: 7/29/2023
      pid: 20732
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Endoscopic Management of a Double Duodenal Web: A Case Report of a Rare Alimentary Anomaly.
      aug:
        au:
          Sundin, Andrew
          Huerta, Carlos T
          Nguyen, Jennifer
          Brady, Ann-Christina
          Hogan, Anthony R
          Perez, Eduardo A
        affil: Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
      sug:
        subj:
          Duodenum Abnormalities
          Endoscopy Methods
          Vomiting Etiology
          Treatment Outcomes
          Female
          Infant
          Balloon Dilatation Methods
          Patient Safety
          Infant: 1-23 months
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
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