Natural Orifice Endoluminal Technique (NOEL) for the Management of Congenital Duodenal Membranes

Two-center retrospective study demonstrates Natural Orifice Endoluminal (NOEL) technique as feasible alternative to traditional surgery for congenital partial duodenal obstruction in children. 60% of 15 patients achieved patency with single procedure; 20% required multiple interventions; 20% ultimately needed surgical conversion, with one perforation complication requiring drainage.