ENDOSCOPIC BALLOON DILATATION IN CHILDREN WITH PARTIAL GASTRIC OUTLET OBSTRUCTION

2019 ◽  
Author(s):  
D Voroniak ◽  
I Kolomoiets ◽  
O Dubrovin
2019 ◽  
Vol 07 (01) ◽  
pp. E53-E61 ◽  
Author(s):  
Rakesh Kochhar ◽  
Sarthak Malik ◽  
Yalaka Reddy ◽  
Bipadabhanjan Mallick ◽  
Narendra Dhaka ◽  
...  

Abstract Background and study aims There is sparse data on the endoscopic management of caustic-induced gastric outlet obstruction (GOO). The present retrospective study aimed to define the response to endoscopic balloon dilatation (EBD) in such patients and their long-term outcome. Patients and methods The data from symptomatic patients of caustic-induced GOO who underwent EBD at our tertiary care center between January 1999 and June 2014 were retrieved. EBD was performed using wire-guided balloons in an incremental manner. Procedural success and clinical success of EBD were evaluated, including complications and long-term outcome. Results A total of 138 patients were evaluated of whom 111 underwent EBD (mean age: 30.79 ± 11.95 years; 65 male patients; 78 patients with isolated gastric stricture; 33 patients with both esophagus plus gastric stricture). The initial balloon diameter at the start of dilatation, and the last balloon diameter were 9.6 ± 2.06 mm (6 – 15 mm) and 14.5 ± 1.6 mm (6 – 15 mm), respectively. Procedural and clinical success was achieved in 95 (85.6 %) and 108 (97.3 %) patients, respectively, requiring a mean (SD) of 5.3 (2.6) and 7.21 (3.86) sessions, respectively. Patients with isolated gastric obstruction had a better response than those with combined esophagus and gastric stricture. Minor complications such as self-limited pain or bleeding were seen in 18 (16.2 %) and 16 (14.4 %), respectively. Perforation occurred in two patients. Over a follow-up period of 98 months, there were no recurrences. Conclusion Caustic-induced GOO can be successfully managed using EBD with 97.3 % clinical success.


2004 ◽  
Vol 19 (4) ◽  
pp. 418-422 ◽  
Author(s):  
RAKESH KOCHHAR ◽  
PRADEEPTA KUMAR SETHY ◽  
BIRENDER NAGI ◽  
JAY DEV WIG

2010 ◽  
Vol 25 (5) ◽  
pp. 1579-1584 ◽  
Author(s):  
Surinder Singh Rana ◽  
Deepak Kumar Bhasin ◽  
Vijant Singh Chandail ◽  
Rajesh Gupta ◽  
Ritambhra Nada ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Mohd Talha Noor ◽  
Pankaj Dixit ◽  
Rakesh Kochhar ◽  
Birinder Nagi ◽  
Usha Dutta ◽  
...  

Endoscopic balloon dilatation (EBD) has important role in the management of benign gastric outlet obstruction. Although there are many reports on the role of EBD in the management of corrosive-induced and peptic benign GOO, there is scanty data on its role in the management of NSAID-induced GOO. We report 10 cases of NSAID-induced pyloroduodenal obstruction and their endoscopic management. The most common site of involvement was duodenum (5/10) followed by both pylorus and duodenum (4/10) and pylorus (1/10). Most of the strictures were short web-like, and the mean (SD) number of stricture was 2.0 (0.94). Endoscopic balloon dilatation was successful in 90% (9/10) cases requiring mean (SD) of 2.0 (1.6) sessions of dilatation to achieve target diameter of 15 mm and mean (SD) of 5.3 (2.7) sessions to maintain it over a treatment period of 4.5 months (IQR 2–15 months). There was no procedure-related complication or mortality.


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