Pneumatic pyloric dilatation for the treatment of gastric outlet obstruction in a child

Acquired causes of gastric outlet obstruction (GOO) are rarely encountered in infancy, having an approximate incidence of 1 per 100 000 live births. Reports of short‐term exposure to non‐steroidal anti‐inflammatory drugs having adverse events are few. We present the case of a previously healthy 3‐ye...

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Bibliographic Details
Published in:Pediatrics international 2013-06, Vol.55 (3), p.382-385
Main Authors: Gobbi, Dalia, Billi, Paola, Fascetti Leon, Francesco, Alvisi, Patrizia, Lambertini, Andrea, Lima, Mario
Format: Article
Language:English
Subjects:
Anti-Inflammatory Agents, Non-Steroidal - administration & dosage
Anti-Inflammatory Agents, Non-Steroidal - adverse effects
Child, Preschool
Combined Modality Therapy
Dilatation - methods
endoscopic dilation
Gastric Outlet Obstruction - chemically induced
Gastric Outlet Obstruction - therapy
Gastritis - chemically induced
Gastritis - therapy
Gastrointestinal diseases
Gastrointestinal Hemorrhage - chemically induced
Gastrointestinal Hemorrhage - therapy
Gastroscopy - methods
Hematemesis - etiology
Humans
Ibuprofen - administration & dosage
Ibuprofen - adverse effects
Male
Nonsteroidal anti-inflammatory drugs
Pediatrics
peptic ulcer disease
Pharmacology
Pyloric Antrum - pathology
pyloric stenosis
Recurrence
Side effects
Stomach Ulcer - chemically induced
Stomach Ulcer - therapy
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Summary:Acquired causes of gastric outlet obstruction (GOO) are rarely encountered in infancy, having an approximate incidence of 1 per 100 000 live births. Reports of short‐term exposure to non‐steroidal anti‐inflammatory drugs having adverse events are few. We present the case of a previously healthy 3‐year‐old boy who developed severe chronic gastric outlet obstruction and antral stenosis after a short‐term ingestion of liquid ibuprofen at a dosage not thought to be associated with unfavorable effects. Even though the optimal management of these cases remains to be determined, we report on a prompt and successful endoscopic treatment for this condition.
ISSN:1328-8067
1442-200X
DOI:10.1111/ped.12022