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Balloon pyloroplasty in children with delayed gastric emptying.

OBJECTIVE
To evaluate initial experience with balloon pyloroplasty for delayed gastric emptying in children.


DESIGN
A retrospective review.


SETTING
A tertiary care pediatric hospital.


PATIENTS
Seven children with scintiscan-proven delayed gastric emptying that was refractory to maximal medical therapy.


INTERVENTIONS
Balloon pyloroplasty under fluoroscopic guidance, mostly on an outpatient basis. For 1 child, the procedure was endoscopically monitored also.


OUTCOME MEASURES
Postoperative symptoms and physical findings, gastric emptying and complications.


RESULTS
Of the 7 children who underwent balloon pyloroplasty, 3 were rendered asymptomatic and 2 more were symptomatically improved. Four of the original 7 patients underwent postdilation scintigraphy, and all 4 showed normalization of the gastric emptying time. There were no complications.


CONCLUSIONS
Initial experience with fluoroscopically-guided balloon pyloroplasty indicates that it is a safe and easily tolerated procedure, worthy of further study.