The Turkish Journal of Pediatrics 2018 , Vol 60 , Num 6
Management of NSAID-related pyloric obstruction in a child using endoscopic balloon dilatation: A case report
Mustafa Onur Öztan 1 ,Gizem Güngör-Takeş 2 ,Yeliz Çağan-Appak 3 ,Coşkun Yıldız 3 ,Miray Karakoyun 3 ,Maşallah Baran 3
1 Department of Pediatric Surgery, Izmir Katip Çelebi University, İzmir, Turkey
2 Department of Pediatrics, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
3 Division of Pediatric Gastroenterology, Hepatology and Nutrition, Izmir Katip Çelebi University, İzmir, Turkey
DOI : 10.24953/turkjped.2018.06.024 Öztan MO, Güngör-Takeş G, Çağan-Appak Y, Yıldız C, Karakoyun M, Baran M. Management of NSAID-related pyloric obstruction in a child using endoscopic balloon dilatation: A case report. Turk J Pediatr 2018; 60: 765-768. A gastric outlet obstruction (GOO) is a major complication of peptic ulcers (PUs) and corrosive ingestion in children; however, the optimal management of a patient with a GOO after a PU remains controversial. Although surgical correction is the most common treatment option, endoscopic balloon dilatation and simultaneous dilatation with a steroid injection are used more frequently as first-line treatments for PU-related GOOs. These patients require operative interventions when the obstruction cannot be managed using endoscopic approaches or in cases of relapsing after the procedure. Here, we present a case to create awareness that endoscopic balloon dilatation is a simple, effective, and safe therapy for a PU-related GOO. Keywords : pediatric, gastric outlet obstruction, endoscopy, balloon dilatation
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