Balloon pyloroplasty in children with delayed gastric emptying.
Can J Surg 1998;
41:151-5. [PMID:
9575999 PMCID:
PMC3949829]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
OBJECTIVE
To evaluate initial experience with balloon pyloroplasty for delayed gastric emptying in children.
DESIGN
A retrospective review.
SETTING
A tertiary care pediatric hospital.
PATIENTS
Seven children with scintiscan-proven delayed gastric emptying that was refractory to maximal medical therapy.
INTERVENTIONS
Balloon pyloroplasty under fluoroscopic guidance, mostly on an outpatient basis. For 1 child, the procedure was endoscopically monitored also.
OUTCOME MEASURES
Postoperative symptoms and physical findings, gastric emptying and complications.
RESULTS
Of the 7 children who underwent balloon pyloroplasty, 3 were rendered asymptomatic and 2 more were symptomatically improved. Four of the original 7 patients underwent postdilation scintigraphy, and all 4 showed normalization of the gastric emptying time. There were no complications.
CONCLUSIONS
Initial experience with fluoroscopically-guided balloon pyloroplasty indicates that it is a safe and easily tolerated procedure, worthy of further study.
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