Endoscopic Pyloric Balloon Dilatation

Performing EPBD under direct surgical vision allows immediate identification and surgical repair of complications. In the WIDE intervention, a balloon dilator is positioned across the pylorus under endoscopic visualisation and inflated to…

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Performing EPBD under direct surgical vision allows immediate identification and surgical repair of complications. In the WIDE intervention, a balloon dilator is positioned across the pylorus under endoscopic visualisation and inflated to 30 mm for 1 minute. Therapeutic endoscopy series report pyloric balloon dilation perforation risk of 1–2% and minor bleeding risk of 2–7%. Endoscopic pyloric balloon dilatation is an established therapy for gastric outlet obstruction and has been used as rescue treatment for established delayed gastric conduit emptying.