Generic placeholder image

New Emirates Medical Journal

Editor-in-Chief

ISSN (Print): -
ISSN (Online): 0250-6882

Case Report

Endoscopic Balloon Dilatation for Incomplete Pyloromyotomy – A Case Report

Author(s): Niall M Jones*, Jadwiga Mierzejewska, Mohammed Ibrahim and Kamal Hassan

Volume 2 , Issue 1 , 2021

Published on: 19 October, 2020

Page: [72 - 75] Pages: 4

DOI: 10.2174/0250688201999201019164953

open access plus

Abstract

Introduction: This is a report of immediate endoscopic balloon dilatation for incomplete pyloromyotomy in idiopathic hypertrophic pyloric stenosis.

Case Report: A two-months old boy presented with 6 weeks of projectile vomiting, failure to thrive and severe physiologic disturbance. Following investigation and resuscitation, he underwent laparoscopic pyloromyotomy. Recovery was delayed due to ongoing projectile vomiting. Contrast studies showed persisting proximal pyloric obstruction. On the third post-operative day, endoscopic balloon dilatation of the residual proximal pyloric stenosis was successful, with immediate tolerance of feeds.

Discussion: We describe the presenting features of his case, the technical details of our management and a review of the relevant literature.

Keywords: Pyloromyotomy, Laparoscopic, Endoscopic, Balloon, Dilatation, Idiopathic hypertrophic pyloric stenosis.

[1]
Donda K, Asare-Afriyie B, Ayensu M, et al. Pyloric stenosis: National trends in the incidence rate and resource use in the United States from 2012 to 2016. Hosp Pediatr 2019; 9(12): 923-32.
[http://dx.doi.org/10.1542/hpeds.2019-0112] [PMID: 31748239]
[2]
El-Gohary Y, Abdelhafeez A, Paton E, Gosain A, Murphy AJ. Pyloric stenosis: An enigma more than a century after the first successful treatment. Pediatr Surg Int 2018; 34(1): 21-7.
[http://dx.doi.org/10.1007/s00383-017-4196-y] [PMID: 29030700]
[3]
Louati H, Zitouni H, Belhajmansour M, et al. A difficult recurrent hypertrophic pyloric stenosis. J Neonatal Surg 2017; 6(2): 48.
[http://dx.doi.org/10.21699/jns.v6i2.484] [PMID: 28770145]
[4]
Leclair M-D, Plattner V, Mirallie E, et al. Laparoscopic pyloromyotomy for hypertrophic pyloric stenosis: A prospective, randomized controlled trial. J Pediatr Surg 2007; 42(4): 692-8.
[http://dx.doi.org/10.1016/j.jpedsurg.2006.12.016] [PMID: 17448768]
[5]
Ekkelkamp S, Vos A. Complications following pyloromyotomy for hypertrophic pyloric stenosis. Tijdschr Kindergeneeskd 1983; 51(2): 52-3. [Complications following pyloromyotomy for hypertrophic pyloric stenosis [Dutch
[PMID: 6879583]
[6]
Kelay A, Hall NJ. Perioperative complications of surgery for hypertrophic pyloric stenosis. Eur J Pediatr Surg 2018; 28(2): 171-5.
[http://dx.doi.org/10.1055/s-0038-1637016] [PMID: 29510427]
[7]
Linnaus ME, Langlais CS, Johnson KN, Notrica DM. Top to bottom: A new method for assessing adequacy of laparoscopic pyloromyotomy. J Laparoendosc Adv Surg Tech A 2016; 26(11): 934-7.
[http://dx.doi.org/10.1089/lap.2016.0303] [PMID: 27532616]
[8]
Rodriguez J, Strong AT, Haskins IN, et al. Per-oral pyloromyotomy (POP) for medically refractory gastroparesis: short term results from the first 100 patients at a high volume center. Ann Surg 2018; 268(3): 421-30.
[http://dx.doi.org/10.1097/SLA.0000000000002927] [PMID: 30004920]
[9]
Kozlov Y, Kovalkov K, Smirnov A. Gastric peroral endoscopic myotomy for treatment of congenital pyloric stenosis – first clinical experience. J Laparoendosc Adv Surg Tech A 2019; 29(6): 860-4.
[http://dx.doi.org/10.1089/lap.2018.0803] [PMID: 31017541]
[10]
Liu ZQ, Li QL, Liu JB, et al. Peroral pyloromyotomy for the treatment of infantile hypertrophic pyloric stenosis. Endoscopy 2020; 52(4): E122-3.
[http://dx.doi.org/10.1055/a-1022-4274] [PMID: 31652470]
[11]
Hayashi AH, Giacomantonio JM, Lau HY, Gillis DA. Balloon catheter dilatation for hypertrophic pyloric stenosis. J Pediatr Surg 1990; 25(11): 1119-21.
[http://dx.doi.org/10.1016/0022-3468(90)90744-T] [PMID: 2273424]
[12]
Khoshoo V, Noel RA, LaGarde D, Buras F, Gilger MA. Endoscopic balloon dilatation of failed pyloromyotomy in young infants. J Pediatr Gastroenterol Nutr 1996; 23(4): 447-51.
[http://dx.doi.org/10.1097/00005176-199611000-00016] [PMID: 8956185]

© 2022 Bentham Science Publishers | Privacy Policy