Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2024; 12(18): 3622-3628
Published online Jun 26, 2024. doi: 10.12998/wjcc.v12.i18.3622
Endoscopic radial incision and cutting method for adult congenital duodenal webs: A case report
Hyun Deok Shin
Hyun Deok Shin, Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan 31116, Chungnam, South Korea
Author contributions: Shin HD conceptualized the study, followed up and monitored the patients, and reviewed and edited the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hyun Deok Shin, MD, PhD, Professor, Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, 119 Dandae-ro, Dongnam-gu, Cheonan 31116, Chungnam, South Korea. emedicals@hanmail.net
Received: March 18, 2024
Revised: April 23, 2024
Accepted: May 14, 2024
Published online: June 26, 2024
Processing time: 92 Days and 3.6 Hours
Core Tip

Core Tip: The treatment of duodenal webs has evolved with medical advancements, particularly in endoscopy, shifting from traditional surgical management to minimally invasive endoscopic approaches. Recent advances in endoscopic instruments and techniques have rendered endoscopic treatment a viable alternative. Generally, endoscopic balloon dilatation requires multiple sessions rather than a single treatment. Endoscopic membranectomy or incisional therapy may ultimately necessitate surgical intervention for restenosis owing to scarring. By contrast, radial incision and cutting is a safe, rapid, and effective treatment method that allows complete circumferential excision of the web. Unlike surgery, it does not require a prolonged hospital stay and presents a very low risk of surgical complications, making it an effective alternative treatment.