Transoral technologies in treating congenital duodenal stenosis
- Authors: Kozlov Y.A.1,2,3, Poloyan S.S.4, Chubko D.M.4, Smirnov A.A.5, Mikhailov N.I.1, Rasputin A.A.1, Baradieva P.A.1, Cheremnov V.S.1, Ochirov C.B.1, Koval'kov K.A.6, Kapuller V.M.7
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Affiliations:
- Municipal Ivano-Matreninsky Children’s Clinical Hospital
- Irkutsk State Medical Academy of Continuing Education
- Irkutsk State Medical University
- Maternity and Childhood Center
- Pavlov St-Petersburg State Medical University
- Kuzbass Regional Children's Clinical Hospital
- University Medical Center, Hebrew University
- Issue: Vol 25, No 2 (2021)
- Pages: 99-103
- Section: ORIGINAL ARTICLES
- Submitted: 12.05.2021
- Accepted: 12.05.2021
- Published: 12.05.2021
- URL: https://jps-nmp.ru/jour/article/view/279
- DOI: https://doi.org/10.18821/1560-9510-2021-25-2-99-103
- ID: 279
Cite item
Abstract
Introduction. The transoral endoscopic surgery performed through the natural orifices of the human body can reduce the rate of complications associated with surgical procedures and general anesthesia.
The aim of the present study was to reveal potentials in restoring the duodenal patency using NOTES technologies.
Material and methods. The researchers assessed outcomes of surgical treatment of 4 patients with partial congenital duodenal obstruction who were operated on in two medical institutions of the Siberian Federal District: Ivano-Matreninsky Children’s Clinical Hospital in Irkutsk 2 patients and Maternity and Childhood Center in Krasnoyarsk 2 patients. The trial period lasted over the past 5 years, since January 2015. Two endoluminal techniques for restoring the duodenal patency were used balloon dilatation of stenosis and endoscopic membranotomy. In the final part of the study, demographic data, intraand postoperative parameters and treatment outcomes were analyzed.
Results. All endoscopic procedures were successfully completed without conversion to laparotomy. In average, it took 25 minutes to restore the lumen of the duodenum (range 20-30 minutes). One patient showed moderate bleeding from the destroyed membrane after balloon dilatation which was stopped by electrocoagulation. Patients’ follow-up revealed that in one of them the disease returned one month later after the balloon dilatation. Repeated balloon dilation relieved the patient of the disease symptoms.
Conclusion. Endoluminal techniques for treating congenital partial duodenal obstruction are feasible and can be successfully performed in most patients. Our experience has shown that this surgery can be done by both balloon dilatation and by endoscopic membranotomy.
About the authors
Yu. A. Kozlov
Municipal Ivano-Matreninsky Children’s Clinical Hospital; Irkutsk State Medical Academy of Continuing Education;Irkutsk State Medical University
Author for correspondence.
Email: yuriherz@hotmail.com
Irkutsk, 664009
Irkutsk, 664049
Irkutsk, 664003
РоссияS. S. Poloyan
Maternity and Childhood Center
Email: fake@neicon.ru
Krasnoyarsk, 660074
РоссияD. M. Chubko
Maternity and Childhood Center
Email: fake@neicon.ru
Krasnoyarsk, 660074
РоссияA. A. Smirnov
Pavlov St-Petersburg State Medical University
Email: fake@neicon.ru
197022 St-Petersburg
РоссияN. I. Mikhailov
Municipal Ivano-Matreninsky Children’s Clinical Hospital
Email: fake@neicon.ru
Irkutsk, 664009
РоссияA. A. Rasputin
Municipal Ivano-Matreninsky Children’s Clinical Hospital
Email: fake@neicon.ru
Irkutsk, 664009
РоссияP. A. Baradieva
Municipal Ivano-Matreninsky Children’s Clinical Hospital
Email: fake@neicon.ru
Irkutsk, 664009
РоссияV. S. Cheremnov
Municipal Ivano-Matreninsky Children’s Clinical Hospital
Email: fake@neicon.ru
Irkutsk, 664009
РоссияCh. B. Ochirov
Municipal Ivano-Matreninsky Children’s Clinical Hospital
Email: fake@neicon.ru
Irkutsk, 664009
РоссияK. A. Koval'kov
Kuzbass Regional Children's Clinical Hospital
Email: fake@neicon.ru
Kemerovo, 650056
РоссияV. M. Kapuller
University Medical Center, Hebrew University
Email: fake@neicon.ru
Jerusalem
ИзраильReferences
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