Balloon dilation of congenital perforated duodenal web in newborns: Evaluation of short and long-term results

Table 1 Data of patients from the study group with incomplete congenital duodenal obstruction due to a congenitally perforated duodenal web who underwent balloon dilatation of the duodenum membrane

Patient	Sex	Birth weight (g)	Gestational age at birth (wk)	Diagnosis	Concomitant pathology
SKR	M	3920	38	Prenatally, 20 wk	Hypoplasia of the 12th left rib
VAA	F	3310	40	Prenatally, 30 wk	Anaemia
XMR	M	3890	39	Prenatally, 35 wk	Subaortic ventricular septal defect. Moderate stenosis of the branches of the pulmonary artery. Situs inversus
SIG	M	3260	39	Prenatally, 33 wk	Anaemia
SUM	F	3550	39	Prenatally, 30 wk	None

Table 2 Characteristics of the procedures performed and follow-up data

Patient	Topography of the duodenal web	Balloon diameter for first dilatation (Fr)	Age at first dilatation (days after birth)	The starting day per os nutrition after dilatation (d)	Time spent in hospital/time spent in ICU (d)	Postoperative complications	Age at the time of the second endoscopy and balloon dilatation (months)	Balloon diameter for second dilatation (Fr)	Weight during the control examination (g)
SKR	D3	24	4	1	15/8	No	13	30-33-26	10500
VAA	D2	24	4	3	14/7	No	11	30-33-26	10200
XMR	D2	24	2	1	18/10	No	15	30-33-26	11000
SIG	D2	18, 21, 24	4	2	20/13	No	In progress
SUM1	D2	18, 21, 24	2	7	1/8	No	In progress

¹The child was transferred from the RSPCPS to another medical hospital because of concomitant coronavirus disease 2019. ICU: Intensive care unit; RSPCPS: Republican Scientific and Practical Center for Pediatric Surgery.

Table 3 Comparison of data between patients who underwent balloon dilatation and laparotomic access

Patient data	Patients with ICDO who underwent balloon dilatation of a perforated web, 95%CI	Patients with ICDO/CDO who underwent laparotomy surgery, 95%CI	Р value1
Gestational age (wk)	39.0 (38.6–39.7)	37.0 (34.0–38.0)	0.0093; Mann–Whitney
Birth weight (g)	3586.0 (3199.4–3972.6)	2813.9 (2476.2–3151.7)	0.0269
Time to start enteral feeding per os after surgery (d)	2.8 (-0.29–5.89)	21.2 (18.1–24.3)	< 0.0001
Time spent in the intensive care unit (d)	9.2 (6.2356–12.1644)	20.5 (17.5–23.5)	0.0025
Total time spent in hospital (d)	16.9 (12.4–21.1)	30.4 (27.4–33.3)	0.0003

¹T-test for independent variables.

CDO: Congenital duodenal obstruction; ICDO: Incomplete congenital duodenal obstruction.