title: Pneumatic pyloric dilatation for the treatment of gastric outlet obstruction in a child.
abstract: Acquired causes of gastric outlet obstruction (GOO) are rarely encountered in infancy, having an approximate incidence of 1 per 100,000 live births. Reports of short-term exposure to non-steroidal anti-inflammatory drugs having adverse events are few. We present the case of a previously healthy 3-year-old boy who developed severe chronic gastric outlet obstruction and antral stenosis after a short-term ingestion of liquid ibuprofen at a dosage not thought to be associated with unfavorable effects. Even though the optimal management of these cases remains to be determined, we report on a prompt and successful endoscopic treatment for this condition.
authors.affiliation: Department of Paediatric Surgery, University of Bologna, Bologna, Italy. daliahg@yahoo.com
authors.forename: Dalia
authors.initials: D
authors.lastname: Gobbi
authors.forename: Paola
authors.initials: P
authors.lastname: Billi
authors.forename: Francesco
authors.initials: F
authors.lastname: Fascetti Leon
authors.forename: Patrizia
authors.initials: P
authors.lastname: Alvisi
authors.forename: Andrea
authors.initials: A
authors.lastname: Lambertini
authors.forename: Mario
authors.initials: M
authors.lastname: Lima
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects*; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004106:Dilatation / Q000379:methods*; D017219:Gastric Outlet Obstruction / Q000139:chemically induced* / Q000628:therapy*; D005756:Gastritis / Q000139:chemically induced* / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced* / Q000628:therapy*; D005773:Gastroscopy / Q000379:methods*; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D007052:Ibuprofen / Q000008:administration & dosage / Q000009:adverse effects*; D008297:Male; D011706:Pyloric Antrum / Q000473:pathology; D012008:Recurrence; D013276:Stomach Ulcer / Q000139:chemically induced* / Q000628:therapy*
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D007052:Ibuprofen