Membranous duodenal stenosis: initial experience with balloon dilatation in four children

Eur J Radiol. 2006 Jul;59(1):29-32. doi: 10.1016/j.ejrad.2006.03.015. Epub 2006 Apr 18.

Abstract

Introduction: We present a novel approach to the treatment of membranous duodenal stenosis (MDS). To our knowledge this is the first paper to describe balloon dilatation for this entity.

Material and methods: Four children, 2 boys and 2 girls, aged between 8 and 28 days, underwent duodenal balloon dilatation. Balloon dilatation was performed under general anaesthesia using standard angiography balloons per os. Balloon diameters ranged from 6 to 14 mm.

Results: All balloon dilatations were successful. None of the procedures showed procedural or post-procedural complications. None of the patients subsequently required surgical intervention. To date all children are doing well.

Discussion: The initial experience with balloon dilation of MDS showed a 100% success rate, without procedural or post-procedural complications. The results obtained in this small group of patients suggest that the use of balloon dilatation in cases of MDS may be a safe technique that can be readily performed by an experienced interventional radiologist.

MeSH terms

  • Catheterization*
  • Contrast Media
  • Duodenal Diseases / diagnostic imaging
  • Duodenal Diseases / therapy*
  • Female
  • Humans
  • Infant, Newborn
  • Intestinal Obstruction / diagnostic imaging
  • Intestinal Obstruction / therapy*
  • Iohexol
  • Male
  • Radiography, Interventional
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Contrast Media
  • Iohexol