title: Balloon pyloroplasty in children with delayed gastric emptying.
abstract: OBJECTIVE
  To evaluate initial experience with balloon pyloroplasty for delayed gastric emptying in children.
  
  
  METHODS
  A retrospective review.
  
  
  METHODS
  A tertiary care pediatric hospital.
  
  
  METHODS
  Seven children with scintiscan-proven delayed gastric emptying that was refractory to maximal medical therapy.
  
  
  METHODS
  Balloon pyloroplasty under fluoroscopic guidance, mostly on an outpatient basis. For 1 child, the procedure was endoscopically monitored also.
  
  
  METHODS
  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.
authors.affiliation: Department of Surgery, British Columbia's Children's Hospital, Vancouver.
authors.forename: P L
authors.initials: PL
authors.lastname: Skarsgard
authors.forename: G K
authors.initials: GK
authors.lastname: Blair
authors.forename: G
authors.initials: G
authors.lastname: Culham
mesh_terms: D000293:Adolescent; D002404:Catheterization / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D015905:Gastric Balloon; D005746:Gastric Emptying; D006801:Humans; D011708:Pylorus; D012189:Retrospective Studies; D013272:Stomach Diseases / Q000628:therapy*; D016896:Treatment Outcome