Abstract
Congenital duodenal atresia, stenosis, and webs are a common cause of proximal obstruction in the newborn period. A variety of surgical techniques have been described for the treatment of duodenal webs. Open and laparoscopic duodenotomy with web resection have been well described; endoscopic resection has also shown to have promising success. We describe a case of a 2-year-old male with a duodenal web, which was resected via an existing gastrostomy site utilizing a modified hybrid natural orifice transluminal endoscopic surgery (NOTES). • Duodenal webs are a common cause of neonatal duodenal obstruction. • High index of suspicion is needed to diagnose duodenal webs after infancy. • Hybrid NOTES is a safe and effective approach for the excision of duodenal webs. • Approach can be performed without an endoscope.
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