PDF(Pubmed)
Abstract：
BACKGROUND: 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.
METHODS: 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.
METHODS: Intraoperative findings revealed ulcerative, scarring pyloric obstruction.
METHODS: Conservative treatment failed and surgery was subsequently performed.
RESULTS: No further vomiting symptoms occurred after surgery. And 3 months after surgery, the patient had gained weight on average and had no further complaints.
CONCLUSIONS: 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.
METHODS: 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.
METHODS: Intraoperative findings revealed ulcerative, scarring pyloric obstruction.
METHODS: Conservative treatment failed and surgery was subsequently performed.
RESULTS: No further vomiting symptoms occurred after surgery. And 3 months after surgery, the patient had gained weight on average and had no further complaints.
CONCLUSIONS: 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.
摘要：
背景：小儿幽门梗阻是一种由远端胃的阻塞性病变引起的远端胃完全或不完全阻塞的疾病，幽门导管,或者近端十二指肠.先天性肥厚性幽门狭窄是小儿幽门梗阻的最常见原因，而获得性幽门狭窄相对罕见，消化性溃疡是最常见的原因。
方法：我们描述了一个5岁女孩的病例，该女孩患有消化性溃疡并出现瘢痕性幽门狭窄。我们还提供了诊断和治疗过程的全面细节。
方法：术中发现显示溃疡性，瘢痕性幽门梗阻。
方法：保守治疗失败，随后进行手术。
结果：术后未出现进一步的呕吐症状。手术3个月后,患者的体重平均增加，没有进一步的投诉。
结论：虽然由于消化性溃疡导致的儿童幽门阻塞瘢痕较少见，重点应该放在通过准确的胃镜检查快速诊断上，胃肠道的钡膳食，或超声检查。根据病人的情况,保守治疗或手术应谨慎选择。
方法：我们描述了一个5岁女孩的病例，该女孩患有消化性溃疡并出现瘢痕性幽门狭窄。我们还提供了诊断和治疗过程的全面细节。
方法：术中发现显示溃疡性，瘢痕性幽门梗阻。
方法：保守治疗失败，随后进行手术。
结果：术后未出现进一步的呕吐症状。手术3个月后,患者的体重平均增加，没有进一步的投诉。
结论：虽然由于消化性溃疡导致的儿童幽门阻塞瘢痕较少见，重点应该放在通过准确的胃镜检查快速诊断上，胃肠道的钡膳食，或超声检查。根据病人的情况,保守治疗或手术应谨慎选择。
