Management of NSAID-related pyloric obstruction in a child using endoscopic balloon dilatation: A case report.

Management of NSAID-related pyloric obstruction in a child using endoscopic balloon dilatation: A case report.
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使用内窥镜球囊扩张治疗儿童非甾体抗炎药相关幽门梗阻:病例报告。

DOI:
10.24953/turkjped.2018.06.024
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发表时间:
2018
影响因子:
0.7
通讯作者:
M. Baran
M. Baran
中科院分区:
医学4区
文献类型:
--
作者:
Mustafa Onur Öztan;Gizem Güngör;Yeliz Çağan;Coşkun Yildiz;Miray Karakoyun;M. Baran

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Oztan MO,Güngör-TakeşG,AnnağAn-Appak Y,Yıeldız C,Karakyun M,Baran M。使用内窥镜气囊扩张治疗儿童非甾体抗炎药相关性幽门梗阻一例报告。土耳其儿科杂志2018;60:765-768。胃出口梗阻(GOO)是儿童消化性溃疡(PU)和腐蚀性摄入的主要并发症;然而,PU后出现GOO的患者的最佳处理仍然存在争议。虽然手术矫正是最常见的治疗选择,但内窥镜气囊扩张和同时注射类固醇更多地被用作PU相关GOOS的一线治疗。当梗阻不能通过内窥镜途径处理或术后复发时,这些患者需要手术干预。在这里,我们提出一个案例,让人们意识到内窥镜气囊扩张术是治疗PU相关粘液的一种简单、有效和安全的治疗方法。
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.