Pyloric stenosis secondary to peptic ulcer disease in pediatric patients: A case report and review of the literature

作者全名:"Zhou, Jiajia; Liu, Guobin; Song, Xiaofeng; Liu, Hongjiang; Wang, Dengliang; Kang, Quan"

作者地址:"[Zhou, Jiajia; Liu, Guobin; Song, Xiaofeng; Liu, Hongjiang; Wang, Dengliang; Kang, Quan] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Key Lab Child Dev & Disorders, Minist Educ,Dept Gen Surg & Trauma Surg,Childrens, Chongqing 400014, Peoples R China; [Kang, Quan] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Dept Gen Surg & Trauma Surg, Minist Educ,Key Lab Child Dev & Disorders,Children, Chongqing 400014, Peoples R China"

通信作者:"Kang, Q (通讯作者),Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Dept Gen Surg & Trauma Surg, Minist Educ,Key Lab Child Dev & Disorders,Children, Chongqing 400014, Peoples R China."

来源:MEDICINE

ESI学科分类:CLINICAL MEDICINE

WOS号:WOS:000970598900058

JCR分区:Q2

影响因子:1.3

年份:2023

卷号:102

期号:12

开始页: 

结束页: 

文献类型:Review

关键词:case report; children; gastric outlet obstruction; peptic ulcer; review

摘要:"Rationale:Pediatric pyloric obstruction is a condition characterized by complete or incomplete obstruction of the distal stomach caused by obstructive lesions of the distal stomach, pyloric duct, or proximal duodenum. Congenital hypertrophic pyloric stenosis is the most common cause of pediatric pyloric obstruction, whereas acquired pyloric stenosis is comparatively rare, with peptic ulcer disease being the most common cause.Patient concerns:We describe a case of a 5-year-old girl who had peptic ulcer disease and developed scarring pyloric stenosis. We also give comprehensive details of the diagnosis and course of treatment.Diagnosis:Intraoperative findings revealed ulcerative, scarring pyloric obstruction.Interventions:Conservative treatment failed and surgery was subsequently performed.Outcomes:No further vomiting symptoms occurred after surgery. And 3 months after surgery, the patient had gained weight on average and had no further complaints.Lessons:Although scarring pediatric pyloric blockage due to peptic ulcer is less common, emphasis should be placed on rapid diagnosis by accurate gastroscopy, barium meal of the gastrointestinal tract, or ultrasonography. Depending on the patient's condition, conservative treatment or surgery should be chosen carefully selected."

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