Balloon pyloroplasty in children with delayed gastric emptying.
| Autor: | Skarsgard PL; Department of Surgery, British Columbia's Children's Hospital, Vancouver., Blair GK, Culham G |
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| Jazyk: | angličtina |
| Zdroj: | Canadian journal of surgery. Journal canadien de chirurgie [Can J Surg] 1998 Apr; Vol. 41 (2), pp. 151-5. |
| Abstrakt: | 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. |
| Databáze: | MEDLINE |
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