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A Classification for Gastric Outlet Obstruction in Childhood: Extending Beyond Infantile Hypertrophic Pyloric Stenosis

Volume 35 · Issue 3 Publish Date: March 15, 2024
Ödül Eğritaş Gürkan Hakan Öztürk Cem Kaya Neslihan Gürcan Kaya Neslihan Ekşi Bozbulut Ayşe Can Kamercan Ceylan Aysel Ünlüsoy Aksu Demet Teker Düztaş Sinan Sarı Buket Dalgıç Alparslan Kapısız Demet Coşkun Gökcen Emmez Gözde İnan İsmail Akdulum Hasan Kutluk Pampal Nuray Camgoz Eryılmaz Selin Erel Volkan Şıvgın Ercan Yıldırım Okan Ermiş İrfan Güngör Gülay Kip Nurdan Bedirli Berrin Işık İbrahim Onur Özen Yusuf Hakan Çavuşoğlu Ramazan Karabulut Zafer Türkyılmaz Kaan Sönmez
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Turkish Journal of Gastroenterology

Volume 35 · Issue 3

Pages: 255-261

History

Published Online: March 15, 2024

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2024 Ödül Eğritaş Gürkan, Hakan Öztürk, Cem Kaya, Neslihan Gürcan Kaya, Neslihan Ekşi Bozbulut, Ayşe Can, Kamercan Ceylan, Aysel Ünlüsoy Aksu, Demet Teker Düztaş, Sinan Sarı, Buket Dalgıç, Alparslan Kapısız, Demet Coşkun, Gökcen Emmez, Gözde İnan, İsmail Akdulum, Hasan Kutluk Pampal, Nuray Camgoz Eryılmaz, Selin Erel, Volkan Şıvgın, Ercan Yıldırım, Okan Ermiş, İrfan Güngör, Gülay Kip, Nurdan Bedirli, Berrin Işık, İbrahim Onur Özen, Yusuf Hakan Çavuşoğlu, Ramazan Karabulut, Zafer Türkyılmaz, Kaan Sönmez

Ödül Eğritaş Gürkan
Departments of Pediatric Gastroenterology and Pediatric Endocrinology, Gazi University School of Medicine, Ankara
Hakan Öztürk
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Cem Kaya
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Neslihan Gürcan Kaya
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Neslihan Ekşi Bozbulut
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Ayşe Can
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Kamercan Ceylan
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Aysel Ünlüsoy Aksu
Departments of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara
Demet Teker Düztaş
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Sinan Sarı
Departments of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara
Buket Dalgıç
Departments of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara
Alparslan Kapısız
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Demet Coşkun
Department of Anesthesiology and Reanimation Department, Gazi University School of Medicine, Ankara, Turkey
Gökcen Emmez
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Gözde İnan
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
İsmail Akdulum
Department of Pediatric Radiology, Gazi University School of Medicine, Ankara, Turkey
Hasan Kutluk Pampal
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Nuray Camgoz Eryılmaz
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Selin Erel
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Volkan Şıvgın
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Ercan Yıldırım
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Okan Ermiş
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
İrfan Güngör
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Gülay Kip
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Nurdan Bedirli
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Berrin Işık
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
İbrahim Onur Özen
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Yusuf Hakan Çavuşoğlu
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Ramazan Karabulut
Departments of Pediatric Surgery and Pathology, Gazi University School of Medicine, Ankara
Zafer Türkyılmaz
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Kaan Sönmez
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Gürkan, Ödül E., Öztürk, H., Kaya, C., Kaya, N. G., Bozbulut, N. E., Can, A., … Sönmez, K. (2024). A Classification for Gastric Outlet Obstruction in Childhood: Extending Beyond Infantile Hypertrophic Pyloric Stenosis. Turkish Journal of Gastroenterology, 35(3), 255–261. https://doi.org/10.5152/tjg.2024.23202
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Abstract

Background/Aims: Gastric outlet obstruction (GOO) is a rare condition in childhood, with the exception of infantile hypertrophic pyloric stenosis (IHPS). However, no classification exists from a pediatric gastroenterologists perspective. Materials and Methods: The patients with a diagnosis of GOO between 2009 and 2020 were reviewed retrospectively. We classified the patients according to GOO: presence of clinical findings accompanied by radiological and/or endoscopic findings; clinical status: intractable nonbilious postprandial vomiting alone or with abdominal pain, early satiety, weight loss, postprandial abdominal distension, and malnutrition; radiology: delayed gastric emptying and dilated stomach; endoscopy: nonbilious gastric contents after 6-8 hours of emptying and/or failed pyloric intubation; physical examination: visible gastric peristalsis. Results: A total of 30 GOO patients (15 patients with IHPS, 1 patient with annular pancreas, 4 patients with gastric volvulus, 2 patients with duodenal atresia, 2 patients with antral web, 1 patient with late-onset hypertrophic pyloric stenosis (LHPS) had surgical treatment, and remaining 5 patients had medical treatment) were enrolled to the study. The median age was 8 months (range: 3 months-16 years), and 14 patients were female. Mitochondrial disorders, LHPS, metabolic disorders, and eosinophilic gastrointestinal system diseases were added to Sharmas GOO classification, and the classification has been expanded. Conclusion: This is the first and largest study of GOO in children. From the perspective of pediatric gastroenterology, new diseases will be addressed, and definitions will be highlighted with our classification for GOO in childhood. Cite this article as: Eğritaş Grkan ö, öztrk H, Kaya C, et al. A classification for gastric outlet obstruction in childhood: Extending beyond infantile hypertrophic pyloric stenosis. Turk J Gastroenterol. 2024;35(3):255-261.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 35 · Issue 3
Pages 255-261
DOI 10.5152/tjg.2024.23202
History
Published Online March 15, 2024
License
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright
Copyright (c) 2024 Ödül Eğritaş Gürkan, Hakan Öztürk, Cem Kaya, Neslihan Gürcan Kaya, Neslihan Ekşi Bozbulut, Ayşe Can, Kamercan Ceylan, Aysel Ünlüsoy Aksu, Demet Teker Düztaş, Sinan Sarı, Buket Dalgıç, Alparslan Kapısız, Demet Coşkun, Gökcen Emmez, Gözde İnan, İsmail Akdulum, Hasan Kutluk Pampal, Nuray Camgoz Eryılmaz, Selin Erel, Volkan Şıvgın, Ercan Yıldırım, Okan Ermiş, İrfan Güngör, Gülay Kip, Nurdan Bedirli, Berrin Işık, İbrahim Onur Özen, Yusuf Hakan Çavuşoğlu, Ramazan Karabulut, Zafer Türkyılmaz, Kaan Sönmez
Affiliations
Ödül Eğritaş Gürkan
Departments of Pediatric Gastroenterology and Pediatric Endocrinology, Gazi University School of Medicine, Ankara
Hakan Öztürk
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Cem Kaya
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Neslihan Gürcan Kaya
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Neslihan Ekşi Bozbulut
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Ayşe Can
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Kamercan Ceylan
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Aysel Ünlüsoy Aksu
Departments of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara
Demet Teker Düztaş
Department of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara, Turkey
Sinan Sarı
Departments of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara
Buket Dalgıç
Departments of Pediatric Gastroenterology, Gazi University School of Medicine, Ankara
Alparslan Kapısız
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Demet Coşkun
Department of Anesthesiology and Reanimation Department, Gazi University School of Medicine, Ankara, Turkey
Gökcen Emmez
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Gözde İnan
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
İsmail Akdulum
Department of Pediatric Radiology, Gazi University School of Medicine, Ankara, Turkey
Hasan Kutluk Pampal
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Nuray Camgoz Eryılmaz
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Selin Erel
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Volkan Şıvgın
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Ercan Yıldırım
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Okan Ermiş
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
İrfan Güngör
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Gülay Kip
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Nurdan Bedirli
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
Berrin Işık
Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey
İbrahim Onur Özen
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Yusuf Hakan Çavuşoğlu
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Ramazan Karabulut
Departments of Pediatric Surgery and Pathology, Gazi University School of Medicine, Ankara
Zafer Türkyılmaz
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Kaan Sönmez
Department of Pediatric Surgery, Gazi University School of Medicine, Ankara, Turkey
Cite this Article
Gürkan, Ödül E., Öztürk, H., Kaya, C., Kaya, N. G., Bozbulut, N. E., Can, A., … Sönmez, K. (2024). A Classification for Gastric Outlet Obstruction in Childhood: Extending Beyond Infantile Hypertrophic Pyloric Stenosis. Turkish Journal of Gastroenterology, 35(3), 255–261. https://doi.org/10.5152/tjg.2024.23202
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