©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Oct 16, 2016; 8(18): 635-645
Published online Oct 16, 2016. doi: 10.4253/wjge.v8.i18.635
Published online Oct 16, 2016. doi: 10.4253/wjge.v8.i18.635
Update on endoscopic management of gastric outlet obstruction in children
Hsun-Chin Chao, Division of Gastroenterology, Department of Pediatrics, Chang Gung Children’s Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 33305, Taiwan
Author contributions: Chao HC contributed to the manuscript.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
Correspondence to: Hsun-Chin Chao, MD, Associate Professor, Division of Gastroenterology, Department of Pediatrics, Chang Gung Children’s Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 5 Fu-Hsing Street, Gueishan District, Taoyuan City 33305, Taiwan. chaohero@yahoo.com
Telephone: +886-3-3281200 Fax: +886-3-3288957
Received: March 27, 2016
Peer-review started: March 28, 2016
First decision: May 23, 2016
Revised: June 18, 2016
Accepted: August 6, 2016
Article in press: August 8, 2016
Published online: October 16, 2016
Processing time: 199 Days and 21 Hours
Peer-review started: March 28, 2016
First decision: May 23, 2016
Revised: June 18, 2016
Accepted: August 6, 2016
Article in press: August 8, 2016
Published online: October 16, 2016
Processing time: 199 Days and 21 Hours
Core Tip
Core tip: 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 evolved with the development of pneumatic dilators and, more recently, local steroid injection and electrocauterization have been added. Endoscopic balloon dilatation (EBD) are used in exceptional cases, some with advantages over surgical intervention depending on each patient in particular and on the characteristics and etiology of the gastric outlet obstruction. Local steroid injection and electrocauterization can augment the effect of EBD.