title: Management of pyloric stricture in children: endoscopic balloon dilatation and surgery.
abstract: BACKGROUND
  Surgical correction is the most preferred treatment modality in pyloric stricture (PS). Recently a few studies reported the experience of balloon dilation in children with PS. This study was designed to present our experiences of the management of the patients with PS with balloon dilation and corrective surgery.
  
  
  METHODS
  The records of 14 patients who were treated with the diagnosis of PS between August 2003 and August 2011 were reviewed retrospectively.
  
  
  RESULTS
  There were nine boys and five girls (mean age, 3.4 ± 1.7 years). The history of caustic ingestion was detected in eight patients; six of them were admitted on the day of ingestion. Two patients were admitted with nonbilious vomiting more than 2 weeks after ingestion. Four patients did not have a remarkable medical history, including caustic ingestion. They admitted with the complaint of nonbilious vomiting. PS was detected during endoscopy in two patients who had a diagnosis of peptic ulcer disease. PS was shown by barium meal study in all patients. Endoscopy was performed in all patients. Endoscopic balloon dilation was tried in 12 patients. Overall eight patients required surgical procedures for PS. The complaints were resolved by endoscopic balloon dilation of pylorus in the remaining six patients.
  
  
  CONCLUSIONS
  Although endoscopic balloon dilatation for benign PS in adults is a generally accepted method of treatment, there is less experience with endoscopic balloon dilatation for PS in children. PS due to benign disorders can be effectively and successfully treated through endoscopic balloon dilatation in suitable patients. In patients with successful pyloric balloon dilatation, surgery can be avoided.
authors.affiliation: Department of Pediatric Surgery, Baskent University Faculty of Medicine, Ankara, Turkey. aktemiz@yahoo.com
authors.forename: Abdulkerim
authors.initials: A
authors.lastname: Temiz
authors.forename: Pelin
authors.initials: P
authors.lastname: Oguzkurt
authors.forename: Semire Serin
authors.initials: SS
authors.lastname: Ezer
authors.forename: Emine
authors.initials: E
authors.lastname: Ince
authors.forename: Hasan Ozkan
authors.initials: HO
authors.lastname: Gezer
authors.forename: Akgun
authors.initials: A
authors.lastname: Hicsonmez
mesh_terms: D002404:Catheterization / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D015390:Gastric Bypass / Q000379:methods; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D008297:Male; D011707:Pyloric Stenosis / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies; D016896:Treatment Outcome