Post-esophagectomy gastric outlet obstruction: role of pyloromyotomy and management with endoscopic pyloric dilatation☆

Endoscopic pyloromyotomy for postesophagectomy gastric outlet obstruction.

Postesophagectomy gastric outlet obstruction occurs in 20%–30% of patients who undergo esophagectomy and is associated with significant morbidity and delayed recovery [1]. Recently, endoscopic pyloromyotomy, also called gastric peroral endoscopic myotomy (POEM), has been reported, in pigs and in a patient with refractory diabetic gastroparesis [2, 3]. We report a case of postesophagectomy delay...

Endoscopic Management of Gastric Polyp with Outlet Obstruction without Polypectomy

Although gastric polyp is usually an incidental endoscopic finding, large-sized polyps can cause symptoms ranging from epigastralgia to bleeding from ulcerated polyps and gastric outlet obstruction. Although the gold standard of treatment is removal of the polyp either through endoscopic polypectomy or surgical excision, complications associated with these procedures cannot be ignored. The risk...

A 3-Year old Child with Gastric Outlet Obstruction due to Pyloric Web: A Case Report

The most common cause of gastric outlet obstruction in neonates and infants is hypertrophic pyloric stenosis. Pyloric web as a cause of gastric outlet obstruction is relatively rare in children and presents with non bilious vomiting, abdominal pain and failure to thrive. The onset of symptoms is usually late with nonspecific symptoms like vomiting and failure to thrive that seems to be due to n...

Update on endoscopic management of gastric outlet obstruction in children

Endoscopic balloon dilatation (EBD) and surgical intervention are two most common and effective treatments for gastric outlet obstruction. Correction of gastric outlet obstruction without the need for surgery is an issue that has been tried to be resolved in these decades; this management has developed with EBD, advanced treatments like local steroid injection, electrocauterization, and stent h...

Pyloric Stenosis (Gastric Outlet Obstruction) — Causes and Symptoms