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


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.


CONCLUSIONS
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.
van Rijn
R R
RR
Department of Radiology, Academic Medical Centre Amsterdam, The Netherlands.
van Lienden
K P
KP
Fortuna
T L
TL
D'Alessandro
L C A
LC
Connolly
B
B
Chait
P G
PG
D002404:Catheterization; D003287:Contrast Media; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000628:therapy*; D007472:Iohexol; D008297:Male; D015641:Radiography, Interventional; D012189:Retrospective Studies; D016896:Treatment Outcome
D003287:Contrast Media; D007472:Iohexol