Pneumatic dilation in treatment of late-onset primary gastric outlet obstruction in childhood.
Late-onset primary gastric outlet obstruction in childhood is a rare condition. Only 8 cases of such were reported. Diagnosis should be considered while ruling out mechanical and structural lesions. Up to now, Heineke-Mikulicz pyloroplasty has been the standard treatment. However, we succeeded in treating this condition by using pneumatic dilation. There is no sign of recurrence for 1 year. We propose the etiology, diagnosis, and the relationship between late-onset primary gastric outlet obstruction and esophageal achalasia in childhood.
Lin
Jao-Yo
JY
Division of Pediatric Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
Lee
Zen-Fung
ZF
Yen
Yu-Chin
YC
Chang
Yu-Tang
YT
D001707:Biopsy, Needle; D002404:Catheterization / Q000379:methods*; D002675:Child, Preschool; D005500:Follow-Up Studies; D005753:Gastric Mucosa / Q000473:pathology; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D011707:Pyloric Stenosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D018570:Risk Assessment; D012720:Severity of Illness Index; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome