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Peptic pyloric stenosis treated by endoscopic balloon dilatation
S M Griffin1, S C Chung, J W Leung
1Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, New Territories.
The British Journal of Surgery
|November 1, 1989
Summary
Endoscopic balloon dilatation effectively treated gastric outlet obstruction in 80% of patients with peptic ulcer disease. Most patients remained symptom-free long-term after this minimally invasive procedure.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
- Peptic Ulcer Disease Management
Background:
- Peptic ulcer disease frequently leads to gastric outlet obstruction.
- Surgical intervention has historically been the primary treatment for this condition.
- Endoscopic therapies offer a less invasive alternative.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic balloon dilatation for treating gastric outlet obstruction.
- To assess the long-term outcomes of this minimally invasive approach.
Main Methods:
- Twenty-five patients with confirmed gastric outlet obstruction due to peptic ulcers were enrolled.
- Treatment involved endoscopic balloon dilatation using 'through the scope' balloons.
- Patient follow-up was conducted for a median of 9 months (range 2-24 months).
Main Results:
- Successful dilatation was achieved in 24 out of 25 patients (96%).
- Twenty patients (80%) remained asymptomatic post-procedure.
- Two patients required surgery, and two experienced recurrent obstruction within 11 weeks.
Conclusions:
- Endoscopic balloon dilatation is a safe and effective treatment for peptic ulcer-induced gastric outlet obstruction.
- The majority of patients achieve sustained symptom relief, avoiding surgery.
- Recurrence is possible, necessitating careful follow-up.