A Classification for Gastric Outlet Obstruction in Childhood: Extending Beyond Infantile Hypertrophic Pyloric Stenosis.

Autor:	Gürkan ÖE; Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey., Öztürk H; Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey., Kaya C; Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey., Kaya NG; Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey., Bozbulut NE; Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey., Can A; Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey., Ceylan K; Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey., Aksu AÜ; Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey., Düztaş DT; Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey., Sarı S; Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey., Dalgıç B; Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey., Kapısız A; Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey., Coşkun D; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Emmez G; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., İnan G; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Akdulum İ; Department of Pediatric Radiology, Gazi University School of Medicine, Ankara, Turkey., Pampal HK; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Eryılmaz NC; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Erel S; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Şıvgın V; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Yıldırım E; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Ermiş O; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Güngör İ; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Kip G; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Bedirli N; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Işık B; Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey., Özen İO; Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey., Çavuşoğlu YH; Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey., Karabulut R; Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey., Türkyılmaz Z; Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey., Sönmez K; Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey.
Jazyk:	angličtina
Zdroj:	The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology [Turk J Gastroenterol] 2024 Mar; Vol. 35 (3), pp. 255-261.
DOI:	10.5152/tjg.2024.23202
Abstrakt:	Background/aims:  Gastric outlet obstruction (GOO) is a rare condition in childhood, with the exception of infantile hypertrophic pyloric stenosis (IHPS). However, no classification exists from a pediatric gastroenterologist's perspective. Materials and Methods:  The patients with a diagnosis of GOO between 2009 and 2020 were reviewed retrospectively. We classified the patients according to GOO: presence of clinical findings accompanied by radiological and/or endoscopic findings; clinical status: intractable nonbilious postprandial vomiting alone or with abdominal pain, early satiety, weight loss, postprandial abdominal distension, and malnutrition; radiology: delayed gastric emptying and dilated stomach; endoscopy: nonbilious gastric contents after 6-8 hours of emptying and/or failed pyloric intubation; physical examination: visible gastric peristalsis. Results:  A total of 30 GOO patients (15 patients with IHPS, 1 patient with annular pancreas, 4 patients with gastric volvulus, 2 patients with duodenal atresia, 2 patients with antral web, 1 patient with late-onset hypertrophic pyloric stenosis (LHPS) had surgical treatment, and remaining 5 patients had medical treatment) were enrolled to the study. The median age was 8 months (range: 3 months-16 years), and 14 patients were female. Mitochondrial disorders, LHPS, metabolic disorders, and eosinophilic gastrointestinal system diseases were added to Sharma's GOO classification, and the classification has been expanded. Conclusion:  This is the first and largest study of GOO in children. From the perspective of pediatric gastroenterology, new diseases will be addressed, and definitions will be highlighted with our classification for GOO in childhood.
Databáze:	MEDLINE
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