Abstract

BLANCO-RODRIGUEZ, Gerardo; PENCHYNA-GRUB, Jaime; TRUJILLO-PONCE, Adrián  and  NIETO-ZERMENO², Jaime. First case of non surgical correction of fenestrated duodenal membrane in a newborn by endoscopic technique. Bol. Med. Hosp. Infant. Mex. [online]. 2005, vol.62, n.1, pp.45-49. ISSN 1665-1146.

Introduction. Duodenal obstruction in the newborn is a frequent pathology; among the most common causes of obstruction are duodenal membranes and in some cases these membranes are fenestrated. Traditionally, correction of membranous duodenal obstruction is with open surgery although laparoscopic resection has been reported and, occasionally, complete resection has also been performed with laser endoscopic technique. Using a biliary tract sphincterotome we evaluated the resection and widening of a duodenal obstruction in a newborn infant. Case report. Newborn with type III esophageal atresia and anorectal malformation who underwent esophageal plasty and colostomy. Belatedly the diagnosis of duodenal atresia due to a fenestrated membrane was made and corrected endoscopically with a biliary tract sphincterotome. The child had a satisfactory recovery. Conclusion. A new non-invasive surgical alternative is presented that can be used in selected cases of fenestrated membranous duodenal obstruction that avoids an open surgery.

Keywords : Fenestrated duodenal membrane; membrane section; duodenal atresia; endoscopic technique.