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Surgical Endoscopy

Published in:

01-07-2012

Management of pyloric stricture in children: endoscopic balloon dilatation and surgery

Authors: Abdulkerim Temiz, Pelin Oguzkurt, Semire Serin Ezer, Emine Ince, Hasan Ozkan Gezer, Akgun Hicsonmez

Published in: Surgical Endoscopy | Issue 7/2012

Abstract

Background

Surgical correction is the most preferred treatment modality in pyloric stricture (PS). Recently a few studies reported the experience of balloon dilation in children with PS. This study was designed to present our experiences of the management of the patients with PS with balloon dilation and corrective surgery.

Methods

The records of 14 patients who were treated with the diagnosis of PS between August 2003 and August 2011 were reviewed retrospectively.

Results

There were nine boys and five girls (mean age, 3.4 ± 1.7 years). The history of caustic ingestion was detected in eight patients; six of them were admitted on the day of ingestion. Two patients were admitted with nonbilious vomiting more than 2 weeks after ingestion. Four patients did not have a remarkable medical history, including caustic ingestion. They admitted with the complaint of nonbilious vomiting. PS was detected during endoscopy in two patients who had a diagnosis of peptic ulcer disease. PS was shown by barium meal study in all patients. Endoscopy was performed in all patients. Endoscopic balloon dilation was tried in 12 patients. Overall eight patients required surgical procedures for PS. The complaints were resolved by endoscopic balloon dilation of pylorus in the remaining six patients.

Conclusions

Although endoscopic balloon dilatation for benign PS in adults is a generally accepted method of treatment, there is less experience with endoscopic balloon dilatation for PS in children. PS due to benign disorders can be effectively and successfully treated through endoscopic balloon dilatation in suitable patients. In patients with successful pyloric balloon dilatation, surgery can be avoided.

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Title: Management of pyloric stricture in children: endoscopic balloon dilatation and surgery
Authors: Abdulkerim Temiz
Pelin Oguzkurt
Semire Serin Ezer
Emine Ince
Hasan Ozkan Gezer
Akgun Hicsonmez
Publication date: 01-07-2012
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 7/2012
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-011-2124-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Management of pyloric stricture in children: endoscopic balloon dilatation and surgery

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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