非肥厚性特发性幽门狭窄青少年患者的内镜治疗。

Pub Date : 2023-01-01 DOI:10.1055/s-0043-57040

Carlo Maria Ferlini, Elena De Lorenzi, Cristina Belgiovine, Emanuele Cereda, Silvia Maria Elena Caimmi, Alessandro Raffaele

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摘要

非肥厚性特发性幽门狭窄(NHIPS)是一种罕见的儿童疾病。它可能与消化性溃疡有关，但尚未找到确切的原因。治疗是一个有争议的问题，从医学到外科手术。我们报告的情况下，15岁的男孩遭受餐后呕吐和体重下降，在过去的3个月。NHIPS的诊断和成功治疗的内镜幽门扩张和空肠喂养几次。结合多学科的方法，内镜下扩张应考虑作为一线治疗，以避免手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Endoscopic Treatment for Nonhypertrophic Idiopathic Pyloric Stenosis in an Adolescent Patient.

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.

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