ENDOSCOPIC BALLOON DILATATION IN CHILDREN WITH PARTIAL GASTRIC OUTLET OBSTRUCTION

2019 ◽  
Author(s):  
D Voroniak ◽  
I Kolomoiets ◽  
O Dubrovin
Keyword(s):  
Gastric Outlet Obstruction ◽  
Balloon Dilatation ◽  
Outlet Obstruction ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

scholarly journals Endoscopic balloon dilatation is an effective management strategy for caustic-induced gastric outlet obstruction: a 15-year single center experience

2019 ◽  
Vol 07 (01) ◽  
pp. E53-E61 ◽  
Author(s):  
Rakesh Kochhar ◽  
Sarthak Malik ◽  
Yalaka Reddy ◽  
Bipadabhanjan Mallick ◽  
Narendra Dhaka ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Balloon Dilatation ◽  
Clinical Success ◽  
Tertiary Care ◽  
Outlet Obstruction ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

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.

Endoscopic balloon dilatation of benign gastric outlet obstruction

2004 ◽  
Vol 19 (4) ◽  
pp. 418-422 ◽  
Author(s):  
RAKESH KOCHHAR ◽  
PRADEEPTA KUMAR SETHY ◽  
BIRENDER NAGI ◽  
JAY DEV WIG
Keyword(s):  
Gastric Outlet Obstruction ◽  
Balloon Dilatation ◽  
Outlet Obstruction ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

Endoscopic balloon dilatation without fluoroscopy for treating gastric outlet obstruction because of benign etiologies

2010 ◽  
Vol 25 (5) ◽  
pp. 1579-1584 ◽  
Author(s):  
Surinder Singh Rana ◽  
Deepak Kumar Bhasin ◽  
Vijant Singh Chandail ◽  
Rajesh Gupta ◽  
Ritambhra Nada ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Balloon Dilatation ◽  
Outlet Obstruction ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

scholarly journals NSAIDs-Related Pyloroduodenal Obstruction and Its Endoscopic Management

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Mohd Talha Noor ◽  
Pankaj Dixit ◽  
Rakesh Kochhar ◽  
Birinder Nagi ◽  
Usha Dutta ◽  
...  
Keyword(s):  
Treatment Period ◽  
Balloon Dilatation ◽  
Outlet Obstruction ◽  
Endoscopic Management ◽  
Common Site ◽  
Related Complication ◽  
Endoscopic Balloon Dilatation ◽  
The Mean ◽  
Endoscopic Balloon

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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