Endoscopic Balloon Dilatation for Incomplete Pyloromyotomy – a case report.
Introduction: This is a report of immediate endoscopic balloon dilatation for incomplete pyloromyotomy in idiopathic hypertrophic pyloric stenosis. Case Report: A two month-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.