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Case Report

Endoscopic Balloon Dilatation for Incomplete Pyloromyotomy – A Case Report

Author(s): Niall M Jones*, Jadwiga Mierzejewska, Mohammed Ibrahim and Kamal Hassan

Volume 2, Issue 1, 2021

Published on: 19 October, 2020

Page: [72 - 75] Pages: 4

DOI: 10.2174/0250688201999201019164953

open_access

Abstract

Introduction: This is a report of immediate endoscopic balloon dilatation for incomplete pyloromyotomy in idiopathic hypertrophic pyloric stenosis.

Case Report: A two-months 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.

Keywords: Pyloromyotomy, Laparoscopic, Endoscopic, Balloon, Dilatation, Idiopathic hypertrophic pyloric stenosis.

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