Gastric outlet obstruction in a 5-year-old boy: Heineke-Miku
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Gastric outlet obstruction (GOO) in the paediatric age group is a relatively common condition. However, excluding infantile hypertrophic pyloric stenosis, GOO in children is quite a rare disease. In addition to congenital intrinsic obstruction of the antrum and pylorus (e.g., aplasia, atresia, web, mucosal valves, heterotrophic pancreas, etc.), a second group of GOO consists of acquired GOO. While the subtype of GOO secondary to acid peptic disease, neoplasm or chemical injury is well understood, primary acquired GOO is little reported, and consequently, remains poorly understood. Here, we describe the case of a 5-year-old boy with GOO, who was firstly treated with botulinum toxin injection then subsequently underwent Heineke-Mikulicz pyloroplasty.....

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