[儿童瘢痕性幽门狭窄的分期内镜球囊扩张术]

[Staged endoscopic balloon dilatation for cicatricial pyloric stenosis in children].

作者信息

Kirakosyan E V, Lokhmatov M M, Budkina T N, Tupylenko A V, Oldakovsky V I, Dyakonova E Yu

机构信息

Sechenov First Moscow State Medical University of Ministry of Health of the Russia, Moscow, Russia.

Sechenov First Moscow State Medical University of Ministry of Health of the Russia, Moscow, Russia; National Medical Research Center for Children's Health of Ministry of Health of the Russian Federation, Moscow, Russia.

出版信息

Khirurgiia (Mosk). 2019(8):85-90. doi: 10.17116/hirurgia201908185.

DOI:10.17116/hirurgia201908185

PMID:31464281

Abstract

Secondary pyloric stenosis quickly leads to homeostatic and nutritional disorders that determines the importance of early diagnosis and surgical treatment. In two clinical cases, we have shown that staged endoscopic balloon dilatation of the pylorus is devoid of the most of the known problems and shortcomings of conventional surgery and makes it possible to restore effectively gastrointestinal passage and to improve child's quality of life. This procedure has a high diagnostic and curative value and is followed by positive dynamics of condition of the child with pyloric stenosis.

摘要

继发性幽门狭窄会迅速导致体内稳态和营养紊乱，这决定了早期诊断和手术治疗的重要性。在两例临床病例中，我们表明，分期内镜下幽门球囊扩张术没有传统手术中大多数已知的问题和缺点，并且能够有效恢复胃肠道通畅，改善患儿生活质量。该手术具有很高的诊断和治疗价值，术后幽门狭窄患儿的病情呈积极变化。