The Evaluation of Endoscopic Balloon Dilation Treatment for Benign
Background and ObjectiveBalloon dilatation of stricture is one of the new treatment methods for patients with Gastric Outlet Obstruction (GOO). Prevalence and underlying etiologies of GOO in various populations are different. The goal of the present study was to determine the effectiveness of endosc...
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| Format: | Article |
| Language: | fas |
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Qom University of Medical Sciences
2008-04-01
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| Series: | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum |
| Subjects: | |
| Online Access: | http://journal.muq.ac.ir/library/upload/article/87.5.7.pdf |
| _version_ | 1819045190463127552 |
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| author | H. Ghofrani H. Forotan A.R. Arefzadeh J. Sokri Shirvani S.A. Mirbagheri |
| author_facet | H. Ghofrani H. Forotan A.R. Arefzadeh J. Sokri Shirvani S.A. Mirbagheri |
| author_sort | H. Ghofrani |
| collection | DOAJ |
| description | Background and ObjectiveBalloon dilatation of stricture is one of the new treatment methods for patients with Gastric Outlet Obstruction (GOO). Prevalence and underlying etiologies of GOO in various populations are different. The goal of the present study was to determine the effectiveness of endoscopic balloon dilatation and factors that could affect method advantage among patients with benign etiology for GOO. Methods Forty-five patients with symptoms of benign GOO were randomly selected. The mean age of patients was 43.7±18.1 years and 86.7% of them were men. Gastric outlet was delineated using double channel videoendoscopy. The severity of gastric pain was measured by VAS test immediately before and one month after balloon dilatation. Patients were followed after procedure weekly (for the first month) and then monthly. Balloon dilatation was repeated for 27% patients during the follow up period.ResultsPatients were followed for 9.9±5.8 months. Furthermore, 71.1% were H. pylori positive. Positive response percent to endoscopic balloon dilatation was 80% and eight patients were took under surgical resection. Weight loss was seen frequently in the non-respondent group. The pain severity was significantly reduced in respondent subjects. No meaningful correlations were found between the response to balloon dilatation and positive H. pylori and cigarette smoking.ConclusionEndoscopic balloon dilatation is a safe and effective method for treating most of patients with benign gastric outlet obstruction and has favorable long-term outcome. Keywords: Endoscopy, Gastric Outlet Obstruction (GOO), Balloon Dilatation |
| first_indexed | 2024-12-21T10:24:38Z |
| format | Article |
| id | doaj.art-3de1702a33174a95ab4c99d12e618a27 |
| institution | Directory Open Access Journal |
| issn | 1735-7799 2008-1375 |
| language | fas |
| last_indexed | 2024-12-21T10:24:38Z |
| publishDate | 2008-04-01 |
| publisher | Qom University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum |
| spelling | doaj.art-3de1702a33174a95ab4c99d12e618a272022-12-21T19:07:21ZfasQom University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum1735-77992008-13752008-04-01214752The Evaluation of Endoscopic Balloon Dilation Treatment for BenignH. GhofraniH. ForotanA.R. ArefzadehJ. Sokri ShirvaniS.A. MirbagheriBackground and ObjectiveBalloon dilatation of stricture is one of the new treatment methods for patients with Gastric Outlet Obstruction (GOO). Prevalence and underlying etiologies of GOO in various populations are different. The goal of the present study was to determine the effectiveness of endoscopic balloon dilatation and factors that could affect method advantage among patients with benign etiology for GOO. Methods Forty-five patients with symptoms of benign GOO were randomly selected. The mean age of patients was 43.7±18.1 years and 86.7% of them were men. Gastric outlet was delineated using double channel videoendoscopy. The severity of gastric pain was measured by VAS test immediately before and one month after balloon dilatation. Patients were followed after procedure weekly (for the first month) and then monthly. Balloon dilatation was repeated for 27% patients during the follow up period.ResultsPatients were followed for 9.9±5.8 months. Furthermore, 71.1% were H. pylori positive. Positive response percent to endoscopic balloon dilatation was 80% and eight patients were took under surgical resection. Weight loss was seen frequently in the non-respondent group. The pain severity was significantly reduced in respondent subjects. No meaningful correlations were found between the response to balloon dilatation and positive H. pylori and cigarette smoking.ConclusionEndoscopic balloon dilatation is a safe and effective method for treating most of patients with benign gastric outlet obstruction and has favorable long-term outcome. Keywords: Endoscopy, Gastric Outlet Obstruction (GOO), Balloon Dilatationhttp://journal.muq.ac.ir/library/upload/article/87.5.7.pdfEndoscopyGastric Outlet Obstruction (GOO)Balloon Dilatation |
| spellingShingle | H. Ghofrani H. Forotan A.R. Arefzadeh J. Sokri Shirvani S.A. Mirbagheri The Evaluation of Endoscopic Balloon Dilation Treatment for Benign Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum Endoscopy Gastric Outlet Obstruction (GOO) Balloon Dilatation |
| title | The Evaluation of Endoscopic Balloon Dilation Treatment for Benign |
| title_full | The Evaluation of Endoscopic Balloon Dilation Treatment for Benign |
| title_fullStr | The Evaluation of Endoscopic Balloon Dilation Treatment for Benign |
| title_full_unstemmed | The Evaluation of Endoscopic Balloon Dilation Treatment for Benign |
| title_short | The Evaluation of Endoscopic Balloon Dilation Treatment for Benign |
| title_sort | evaluation of endoscopic balloon dilation treatment for benign |
| topic | Endoscopy Gastric Outlet Obstruction (GOO) Balloon Dilatation |
| url | http://journal.muq.ac.ir/library/upload/article/87.5.7.pdf |
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