healthcareЗдравоохранение. HealthcareHealthcare1027-7218Republican Scientific and Practical Center for Medical Technologies, Informatization, Management and Health Economics10.65249/1027-7218-2026-3-4-12healthcare-254Research ArticleИННОВАЦИОННЫЕ МЕДИЦИНСКИЕ ТЕХНОЛОГИИINNOVATIVE MEDICAL TECHNOLOGIESЭндоскопическое лечение врожденной перфорированной мембраны двенадцатиперстной кишки: обзор литературы и оценка собственных результатовEndoscopic treatment of congenital perforated duodenal web: a literature review and evaluation of own resultshttps://orcid.org/0000-0002-4191-6053МараховскийК. Ю.MarakhouskiK.

Мараховский Кирилл Юрьевич

Минск

ВалекЛ. В.ValiokL.

Валек Лариса Викторовна

Минск

https://orcid.org/0000-0003-1569-1572НиколаеваЕ. В.NikalayevaK.

Николаева Екатерина Владимировна – научный сотрудник лаборатории детской хирургии

пр. Независимости, 64А, 220013, г. Минск

сл. тел. + 375 17 392-27-81 

МаскаленкоТ. Г.MaskalenkoТ.https://orcid.org/0000-0003-3343-8810АверинВ. И.AverinV.

Аверин Василий Иванович

Минск

Республиканский научно-практический центр детской хирургииBelarusБелорусский государственный медицинский университетBelarus20261304202603412Copyright © Мараховский К.Ю., Валек Л.В., Николаева Е.В., Маскаленко Т.Г., Аверин В.И., 20262026Мараховский К.Ю., Валек Л.В., Николаева Е.В., Маскаленко Т.Г., Аверин В.И.Marakhouski K., Valiok L., Nikalayeva K., Maskalenko Т., Averin V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://healthcare.ejournal.by/jour/article/view/254

Представлены сравнительные результаты лечения врожденной высокой частичной кишечной непроходимости, вызванной наличием перфорированной мембраны двенадцатиперстной кишки у новорожденных пациентов и пациентов в возрасте до 1 года, выполненного в течение 2017–2025 гг. в условиях УЗ «Республиканский научно-практический центр детской хирургии» при использовании эндоскопической мембранотомии и новой эндоскопической техники (баллонной дилатации по предустановленному проводнику при эндоскопическом доступе) вместо классической хирургической техники с лапаротомным доступом. Проведен анализ литературы по способам восстановления просвета двенадцатиперстной кишки у детей в мировой практике. Оценены интраоперационные и отдаленные результаты восстановления просвета двенадцатиперстной кишки у детей при использовании новой эндоскопической техники. Проведено сравнение новой эндоскопической техники с классической хирургической техникой. Рассчитана экономическая эффективность при использовании новой эндоскопической техники восстановления просвета двенадцатиперстной кишки у детей.

This article presents comparative results of treating congenital high partial intestinal obstruction caused by a perforated duodenal web in newborn and infants under 1 year of age, treated at the Republican Scientific and Practical Center of Pediatric Surgery between 2017 and 2025. Endoscopic membranotomy and a novel endoscopic technique (balloon dilation over a pre-placed guidewire via endoscopic access) were used instead of the classical surgical technique with laparotomy. A literature review on methods for restoring duodenal patency in children in global practice was conducted. Intraoperative and long-term outcomes of duodenal lumen restoration in children using the novel endoscopic technique were evaluated. The novel endoscopic technique was compared with the classical surgical approach. The economic efficiency of the novel endoscopic technique for restoring duodenal lumen patency in children was calculated.

эндоскопия у новорожденных детейврожденная высокая частичная кишечная непроходимостьмембрана двенадцатиперстной кишкибаллонная дилатация перфорированной мембраны двенадцатиперстной кишки по предустановленному эндоскопическому проводникуendoscopy in newborncongenital high partial intestinal obstructionduodenal webballoon dilation of perforated duodenal web by the pre-placed endoscopic guidewireReferencesAdvances and trends in pediatric minimally invasive surgery / A. Meinzer, I. Alkatout, T. F. Krebs [et al.] // Journal of Clinical Medicine. – 2020. – Vol. 9, № 12. – doi: 10.3390/jcm9123999.Meinzer A., Alkatout I., Krebs T.F., et al. Advances and trends in pediatric minimally invasive surgery. J Clin Med. 2020; 9(12). doi: 10.3390/jcm9123999.Gastrointestinal polyps and polyposis in children: experience of endoscopic and surgical outcomes / P. R. Tripathi, M. Sen Sarma, S. K. 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The authors declare that there are no conflicts of interest present.