A H Sheikh, M Saleem, M Shaukat, R Ullah, A Rauf, J Sadiq.
Balloon Catheter Dilatation in Infantile Hypertrophic Pyloric Stenosis (Ihps)
Ann King Edward Med Coll Oct - Dec 1997;3(4):95-7.
Department Of Paediatric Surgery Quaid-E-Azam Medical College Bahawal Pur And The Children`s Hospital & The Institute Of Child Health Lahore

This is a prospective study conducted at Mayo hospital Lahore from January 1990 to December 1992. A total of 50 cases were dealt with during this period. The purpose of this study was to evaluate the results of balloon catheter dilatation in YIPS and compare the results with the standard Ramstedt`s pyloromyotomy. For study purposes 50 cases were divided into two equal groups. Group 1st was taken as control and Ramstedt`s pyloromyotomy was performed in all . Duodenal perforation occurred in two cases and one case had to be reoperated due to intraperitonial haemorrhage. In group 11 balloon catheter dilatation was performed peroperatively by introducing the balloon perorum guided by the operating surgeon into the pyloric canal. Complete disruption occurred in two cases (8%) and partial in 12 cases (48%). It failed completely in 11 cases (44%). The effectiveness was 56% opposite to 100% in classical Ramstedt`s operation. It is concluded that balloon catheter dilatation is not as effective as the time tested Ramstedt`s pyloromyotomy.

Category: Pediatric Surgery
Keywords: Baloon Catheter. Gastric Obstruction. Pylorus. Stomach. Infantile Hypertrophic Pyloric Stenosis.

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