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CC BY 4.0 · European J Pediatr Surg Rep. 2023; 11(01): e25-e28
DOI: 10.1055/s-0043-57040
Case Report

Endoscopic Treatment for Nonhypertrophic Idiopathic Pyloric Stenosis in an Adolescent Patient

Carlo Maria Ferlini
1   Pediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
,
Elena De Lorenzi
1   Pediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
,
Cristina Belgiovine 
1   Pediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
2   Department of Clinical, Surgical, Diagnostics and Pediatric Sciences, University of Pavia, Pavia, Lombardia, Italy
,
Emanuele Cereda
3   Clinical Nutrition and Dietetics Unit, Department of Oncology and Hematology, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
,
Silvia Maria Elena Caimmi
4   Pediatrics Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
,
Alessandro Raffaele 
1   Pediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy
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Abstract

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.

Keywords

nonhypertrophic - idiopathic - pyloric - stenosis - endoscopic - dilation - multidisciplinary approach


Publication History

Received: 22 August 2022

Accepted: 22 March 2023

Article published online:
03 May 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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