Here, we presenta case to create awareness that endoscopic balloon dilatation is a simple,effective, and safe therapy for a PU-related GOO.
📌 3 Key Takeaways
🎯
Objective & Hypothesis:A gastric outlet obstruction (GOO) is a major complication of peptic ulcers(PUs) and corrosive ingestion in children; however, the optimal managementof a patient with a GOO after a PU remains controversial.
📊
Key Findings & Data:Although surgicalcorrection is the most common treatment option, endoscopic balloon dilatationand simultaneous dilatation with a steroid injection are used more frequentlyas first-line treatments for PU-related GOOs.
💡
Conclusion & Impact:Here, we presenta case to create awareness that endoscopic balloon dilatation is a simple,effective, and safe therapy for a PU-related GOO.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
A gastric outlet obstruction (GOO) is a major complication of peptic ulcers(PUs) and corrosive ingestion in children; however, the optimal managementof a patient with a GOO after a PU remains controversial. Although surgicalcorrection is the most common treatment option, endoscopic balloon dilatationand simultaneous dilatation with a steroid injection are used more frequentlyas first-line treatments for PU-related GOOs. These patients require operativeinterventions when the obstruction cannot be managed using endoscopicapproaches or in cases of relapsing after the procedure. Here, we presenta case to create awareness that endoscopic balloon dilatation is a simple,effective, and safe therapy for a PU-related GOO.
🔖
Cite This Article
KARAKOYUN, M., YILDIZ, C., BARAN, M., ÖZTAN, M. O., TAKEŞ, G. G., APPAK, Y. Ç. (2022). Management of NSAID-related pyloric obstruction in a child using endoscopic balloon dilatation: A case report. Turkish Journal of Pediatrics, Cilt: 60 - Sayı: 6, 765–768. https://ajindex.com/articles/613159
Chao HC. Update on endoscopic management of gastric outlet obstruction in children. World J Gastrointest Endosc 2016; 8: 635-645
Patel RA, Baker SS, Sayej WN, Baker RD. Two cases of helicobacter pylori-negative gastric outlet obstruction in children. Case Rep Gastrointest Med 2011; 2011: 749850
Yen JB, Kong MS. Gastric outlet obstruction in pediatric patients. Chang Gung Med J 2006; 29: 401-405
Edwards MJ, Kollenberg SJ, Brandt ML, et al. Surgery for peptic ulcer disease in children in the post-histamine2- blocker era. J Pediatr Surg 2005; 40: 850-854
Higuchi K, Umegaki E, Watanabe T, et al. Present status and strategy of NSAIDs-induced small bowel injury. J Gastroenterol 2009; 44: 879-888
Cardile S, Martinelli M, Barabino A, et al. Italian survey on non-steroidal anti-inflammatory drugs and gastrointestinal bleeding in children. World J Gastroenterol 2016; 22: 1877-1883
Feng J, Gu W, Li M, et al. Rare causes of gastric outlet obstruction in children. Pediatr Surg Int 2005; 21: 635-640
Hamzaoui L, Bouassida M, Ben Mansour I, et al. Balloon dilatation in patients with gastric outlet obstruction related to peptic ulcer disease. Arab J Gastroenterol 2015; 16: 121-124
Noor MT, Dixit P, Kochhar R, et al. NSAIDs-related pyloroduodenal obstruction and its endoscopic management. Diagn Ther Endosc 2011; 2011: 967957
Gobbi D, Billi P, Fascetti Leon F, Alvisi P, Lambertini A, Lima M. Pneumatic pyloric dilatation for the treatment of gastric outlet obstruction in a child. Pediatr Int 2013; 55: 382-385
Ozokutan BH, Ceylan H, Ertaşkin I, Yapici S. Pediatric gastric outlet obstruction following corrosive ingestion. Pediatr Surg Int 2010; 26: 615-618
Işıkay S, Olgun H, Işıkay N, Ceviz N. Bir infantta korozif alımına bağlı tam mide çıkış obstrüksiyonu: Kusmanın nadir bir nedeni. Türkiye Çocuk Hastalıkları Dergisi 2013; 7(Ek Sayı 1): 41-43.