Argon plasma coagulation combined with pneumatic dilatation for the treatment of duodenal stenosis: A case report

Abstract

We present an alternative therapeutic approach for the treatment of secondary duodenal stenosis with pneumatic dilation combined with the use of argon plasma. We present a patient with a history of duodenal atresia corrected with duodenal-duodenal anastomosis, who presented late duodenal stenosis, presenting progressive bile vomiting and intolerance to the oral route. He underwent pneumatic and argon plasma dilatation. Procedure performed under general anesthesia. The dilations were successful, he did not present immediate complications. Presents adequate evolution 2 year after the last dilation event. Pneumatic dilation combined with argon plasma in this patient showed adequate effectiveness in duodenal dilation, without immediate and mediate complications, presenting an adequate evolution. This suggests that this technique could be reproduced by pediatric endoscopist surgeons and avoid the open surgical procedure.