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Endoscopic therapy of benign pyloric stenosis and gastric outlet obstruction.

AbstractPURPOSE OF REVIEW:
To examine the short and long-term success rates of balloon dilation of pyloric stenosis.
RECENT FINDINGS:
Several large studies have demonstrated high rates of success for the relief of symptoms from pyloric stenosis using through-the-scope balloons. These dilating balloons readily increase the diameter of the stenotic pylorus on average from 6 to 16 mm. Patients who require more than two dilations are at high risk of endoscopic failure and the need for surgical intervention. Rapid re-stenosis rates are observed in patients with malignant pyloric obstruction. Since many patients with benign pyloric stenosis have underlying ulcer disease, helicobacter infection is a relatively common finding. Eradication of this infection at the time of balloon dilation will ensure higher long-term success rates.
SUMMARY:
In summary, benign pyloric stenosis can be readily treated with endoscopic balloon dilation and should be the first-line therapy.
AuthorsTony E Yusuf, William R Brugge
JournalCurrent opinion in gastroenterology (Curr Opin Gastroenterol) Vol. 22 Issue 5 Pg. 570-3 (Sep 2006) ISSN: 0267-1379 [Print] United States
PMID16891891 (Publication Type: Journal Article, Review)
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Catheterization
  • Female
  • Gastric Outlet Obstruction (etiology, microbiology, therapy)
  • Helicobacter Infections (complications, microbiology)
  • Helicobacter pylori
  • Humans
  • Male
  • Middle Aged
  • Peptic Ulcer (complications, microbiology)
  • Pyloric Stenosis (etiology, microbiology, therapy)
  • Treatment Outcome

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