Duplication cystique duodenale : methode originale de traitement endoscopique

The authors report a case of cystic duplication of the duodenum treated endoscopically. The clinical symptoms (nausea and vomiting) were evoking an upper G.I. subobstruction. The surgical treatment of these malformations is reviewed. The « open window » operation proposed and carried out by Anderson in 1935 has been applied, using an endoscopic approach. A wide communication between the cyst wall and the surrounding duodenum after a per endoscopic opacification of the cystic cavity, has excluded a communication and/or relationship with surrounding organs. This endoscopic procedure, performed with simple sedation, has provided an excellent clinical result and the recovery of a normal duodenal transit. The duplication must be necessarily accessible to the endoscopic instruments. Thee anatomic position is the only limiting factor of this method.