Tao Boyuan,Zeng Jixiao,Liu Fei,et al.Application of Heineke-Mikulicz pyloroplasty for benign gastric outlet obstruction in children[J].Journal of Clinical Pediatric Surgery,,22():345-350.[doi:10.3760/cma.j.cn101785-202205045-009]
Application of Heineke-Mikulicz pyloroplasty for benign gastric outlet obstruction in children
- Keywords:
- Gastric Outlet Obstruction; Pyloric Stenosis; Pyloroplasty; Child
- Abstract:
- Objective To explore the indications and efficacies of Heineke-Mikulicz pyloroplasty (HMP) for benign gastric outlet obstruction in children.Methods From August 2015 to January 2021,clinical data were retrospectively reviewed for 11 children undergoing HMP for benign gastric outlet obstruction.There were pyloric or duodenal bulb stenosis caused by peptic ulcer (n=4),gastric mass (n=3,including ectopic pancreatic tissue,n=2;gastric duplication,n=1);pyloric stenosis caused by eosinophilic gastroenteritis (n=2),recurrence of pyloric obstruction after laparoscopic pyloromyotomy for congenital hypertrophic pyloric stenosis (n=1) and stenosis of distal gastric antrum caused by chemical injury (n=1). Results There were 5 boys and 6 girls with a mean age of 5.1 years old.Pyloroplasty was successful.Laparotomy (n=9) and laparoscopy (n=2) were performed.Operative duration was (162±92) min,estimated blood loss (10±3) ml and postoperative length of stay (12±4) days.A total of 14 operations were performed.One child of corrosive ingestion required a semi-liquid diet during discharge and the remainders could eat normally.The postoperative follow-up period was (38±23) months.One child had transient gastric retention within six months post-operation and improved after conservative measures.Two children had mild abdominal pain after eating.At Month 12 post-operation,height and weight normalized and body mass index,serum albumin and prealbumin improved markedly as compared with those pre-operation (P<0.05). Conclusion As an effective treatment of benign gastric outlet obstruction in children,HMP may achieve excellent near/medium-term outcomes.
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Memo
收稿日期:2022-9-9。
基金项目:国家自然科学基金(82170528);广东省自然科学基金(2022A1515012254);广州市科技计划市校(院)联合资助项目(202201020612);广州市临床特色技术项目(2023C—TS48)
通讯作者:曾纪晓,Email:zengjixiao@163.com