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A Case of Successful Management of Hypertrophic Pyloric Stenosis with Endoscopic Balloon Dilatation

Journal of the Korean Pediatric Society 1999;42(1):143-147.
Published online January 15, 1999.
A Case of Successful Management of Hypertrophic Pyloric Stenosis with Endoscopic Balloon Dilatation
Cheol Ho Chang, Churl Young Chung
Department of Pediatrics, College of Medicine, Inje University, Seoul, Korea
풍선확장술을 이용한 비후성 유문협착증의 성공적 치험 1례
장철호, 정철명
인제대학교 의과대학 상계백병원 소아과
Abstract
Endoscopic balloon dilatation has provided a non-operative means of managing obstructive lesions in the gastrointestinal tract. In an infant with idiopathic hypertrophic pyloric stenosis(IHPS), the stenosis was successfully dilated with endoscopic balloon dilatation. Endoscopic balloon dilatation was performed using a 9mm endoscope and through-the-scope(TTS) balloon catheter (diameter 10 to 12mm). Dilatation was performed two times for 5 minutes. The 9mm endoscope then passed through the pylorus. There were no complications. The treatment was followed by immediate symptomatic relief. Endoscopic balloon dilatation may become a valid alternative to surgical procedures for the treatment of IHPS if good results can be confirmed in further studies.
Key Words: Hypertrophic pyloric stenosis, Endoscopic balloon dilatation


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