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Endoscopic balloon dilation for ulcer-induced gastric outlet obstruction.
Am J Gastroenterol 1994; 89(6):868-71AJ

Abstract

OBJECTIVE

To determine the safety and efficacy of endoscopic balloon dilation for ulcer-induced gastric outlet strictures.

METHODS

Review of the cumulative experience from two institutions involving 30 patients who underwent endoscopic balloon dilation for peptic ulcer-induced gastric outlet obstruction. Follow-up was by standardized interview at a mean of 15 months (range 4-28 months).

RESULTS

Symptoms occurred for an average of 6 months before dilation and included weight loss, epigastric pain, nausea, vomiting, early satiety, bloating, and anorexia. Gastric outlet strictures had a median diameter of 6 mm (range, 0-10 mm). Ten (33%) patients had active ulcers. Six-millimeter to 18-mm (median 15-mm) balloons were inflated a median of 2 times (range 1-4 times) for a median of 60 s (range 30-180 s). Fifty-one procedures (1.7/patient) were performed; 20 (67%) patients had one treatment and 10 (33%) had multiple treatments. Twenty-four (80%) patients achieved sustained symptom relief, 17 of 20 having a single procedure and 7 of 10 required multiple sessions. Dilation failed in 4 (13%) patients with long duodenal strictures. Two (6.7%) patients dilated to 18 mm suffered perforation. Both recovered uneventfully after surgery.

CONCLUSIONS

Endoscopic balloon dilation is safe and effective for most patients with ulcer-induced gastric outlet obstruction.

Authors+Show Affiliations

Division of Gastroenterology, University of Utah School of Medicine, Salt Lake City.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8198096

Citation

DiSario, J A., et al. "Endoscopic Balloon Dilation for Ulcer-induced Gastric Outlet Obstruction." The American Journal of Gastroenterology, vol. 89, no. 6, 1994, pp. 868-71.
DiSario JA, Fennerty MB, Tietze CC, et al. Endoscopic balloon dilation for ulcer-induced gastric outlet obstruction. Am J Gastroenterol. 1994;89(6):868-71.
DiSario, J. A., Fennerty, M. B., Tietze, C. C., Hutson, W. R., & Burt, R. W. (1994). Endoscopic balloon dilation for ulcer-induced gastric outlet obstruction. The American Journal of Gastroenterology, 89(6), pp. 868-71.
DiSario JA, et al. Endoscopic Balloon Dilation for Ulcer-induced Gastric Outlet Obstruction. Am J Gastroenterol. 1994;89(6):868-71. PubMed PMID: 8198096.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic balloon dilation for ulcer-induced gastric outlet obstruction. AU - DiSario,J A, AU - Fennerty,M B, AU - Tietze,C C, AU - Hutson,W R, AU - Burt,R W, PY - 1994/6/1/pubmed PY - 1994/6/1/medline PY - 1994/6/1/entrez SP - 868 EP - 71 JF - The American journal of gastroenterology JO - Am. J. Gastroenterol. VL - 89 IS - 6 N2 - OBJECTIVE: To determine the safety and efficacy of endoscopic balloon dilation for ulcer-induced gastric outlet strictures. METHODS: Review of the cumulative experience from two institutions involving 30 patients who underwent endoscopic balloon dilation for peptic ulcer-induced gastric outlet obstruction. Follow-up was by standardized interview at a mean of 15 months (range 4-28 months). RESULTS: Symptoms occurred for an average of 6 months before dilation and included weight loss, epigastric pain, nausea, vomiting, early satiety, bloating, and anorexia. Gastric outlet strictures had a median diameter of 6 mm (range, 0-10 mm). Ten (33%) patients had active ulcers. Six-millimeter to 18-mm (median 15-mm) balloons were inflated a median of 2 times (range 1-4 times) for a median of 60 s (range 30-180 s). Fifty-one procedures (1.7/patient) were performed; 20 (67%) patients had one treatment and 10 (33%) had multiple treatments. Twenty-four (80%) patients achieved sustained symptom relief, 17 of 20 having a single procedure and 7 of 10 required multiple sessions. Dilation failed in 4 (13%) patients with long duodenal strictures. Two (6.7%) patients dilated to 18 mm suffered perforation. Both recovered uneventfully after surgery. CONCLUSIONS: Endoscopic balloon dilation is safe and effective for most patients with ulcer-induced gastric outlet obstruction. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/8198096/full_citation L2 - https://medlineplus.gov/pepticulcer.html DB - PRIME DP - Unbound Medicine ER -