Treatment of adult pyloric stenosis: a pharmacological alternative?

Patients presenting with gastric outlet obstruction require investigation and treatment by surgery or balloon dilatation. This paper presents three cases of classic pyloric stenosis due to long-standing scarring from peptic ulceration. All cases were planned for active intervention but all settled, while investigations were in progress, with omeprazole. This would suggest that there are increasing numbers of such patients who are temporised with this treatment but may present again with refractile pyloric stenosis.