Endoscopic Treatment for Nonhypertrophic Idiopathic Pyloric Stenosis in an Adolescent Patient.
Carlo Maria FerliniElena De LorenziCristina BelgiovineEmanuele CeredaSilvia Maria Elena CaimmiAlessandro RaffaelePublished in: European journal of pediatric surgery reports (2023)
Nonhypertrophic idiopathic pyloric stenosis (NHIPS) is a rare occurrence in children. It could be related to peptic ulcers, but a definitive cause is yet to be found. Treatment is a matter of debate, ranging from medical to surgical. We report the case of a 15-year-old boy suffering postprandial vomiting and weight loss in the previous 3 months. NHIPS was diagnosed and successfully treated with several sessions of endoscopic pyloric dilation and jejunal feeding. In association with a multidisciplinary approach, endoscopic dilation should be considered as a first-line treatment to avoid surgery.
Keyphrases
- ultrasound guided
- weight loss
- young adults
- minimally invasive
- bariatric surgery
- type diabetes
- squamous cell carcinoma
- radiation therapy
- case report
- coronary artery bypass
- quality improvement
- risk assessment
- adipose tissue
- blood glucose
- endoscopic submucosal dissection
- body mass index
- skeletal muscle
- wound healing
- chemotherapy induced