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Successful Treatment of Recurrent Pyloric Stenosis Using Balloon Dilation
Jesseca R A Pirkle1, David Deutsch1,2
1From the Department of Pediatric Gastroenterology, College of Medicine, University of Illinois, Rockford, IL.
Infantile hypertrophic pyloric stenosis (IHPS) is a common infant condition. Balloon dilation offers a new treatment option for rare recurrent IHPS cases after surgery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Infantile hypertrophic pyloric stenosis (IHPS) affects 2-5/1000 infants, presenting with projectile vomiting and epigastric masses.
- Ramstedt pyloromyotomy is the standard surgical treatment for IHPS.
- Postoperative emesis can indicate incomplete or recurrent pyloric stenosis.
Observation:
- A rare case of recurrent IHPS occurred in an 8-week-old female infant 3.5 weeks post-laparoscopic pyloromyotomy.
- The infant presented with persistent postoperative emesis.
Findings:
- A successful balloon dilation procedure was performed for recurrent IHPS.
- This intervention resolved the infant's symptoms.
Implications:
- Balloon dilation presents a potential alternative treatment for recurrent pyloric stenosis.
- Further research is needed to establish balloon dilation as a standard of care for recurrent IHPS.
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