Balloon pyloroplasty in children with delayed gastric emptying.
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.
Skarsgard
P L
PL
Department of Surgery, British Columbia's Children's Hospital, Vancouver.
Blair
G K
GK
Culham
G
G
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