Abstract | PURPOSE 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.
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Authors | Tony E Yusuf, William R Brugge |
Journal | Current opinion in gastroenterology
(Curr Opin Gastroenterol)
Vol. 22
Issue 5
Pg. 570-3
(Sep 2006)
ISSN: 0267-1379 [Print] United States |
PMID | 16891891
(Publication Type: Journal Article, Review)
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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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