Canadian journal of surgery. Journal canadien de chirurgie · 1998
Balloon pyloroplasty in children with delayed gastric emptying.
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Skarsgard P L, Blair G K, Culham G
Аннотация
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.
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.