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Objective To compare the clinical efficacy of DSA-guided pyloric balloon dilation with that of conservative medical treatment for postsurgical gastroparesis syndrome(PGS).Methods The clinical data of 41 patients with PGS,who were admitted to the Department of Interventional Radiology,Affiliated Third Hospital of Suzhou University of China to receive DSA-guided pyloric balloon dilation(study group,n=21)or conservative medical treatment(control group,n=20)between January 2012 and February 2021,were retrospectively analyzed.The median follow-up period in the control group and the study group was 626 days and 588 days respectively.The average length of stay(ALOS)was compared between the two groups.Results In the study group,all the 21 patients returned to normal food intake within 2 days after successful DSA-guided pyloric balloon dilation treatment,and they were all discharged within one week after treatment.The ALOS in the study group was(10.2±1.3)days,which was strikingly shorter than(34.5±14.2)days in the control group,the difference between the two groups was statistically significant(P＜0.001).Conclusion For the treatment of PGS,DSA-guided pyloric balloon dilation carries better clinical efficacy when compared with conservative medical treatment,therefore,it can be used as the preferred treatment for patients with PGS.Further studies are need to be conducted before its therapeutic mechanism can be clarified.
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Background: The prevalence of chronic suppurative otitis media in children appears to be on the increase in our society probably due to factors associated with poverty and deteriorating healthcare facilities. This study aimed to determine the prevalence of chronic suppurative otitis media as seen in the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt with a view to documenting the pattern and highlighting the results of management. Patients and Methods: A retrospective study of all children that presented to the department of E.N.T surgery of UPTH, Port Harcourt, Nigeria with chronic suppurative otitis media over a tenyear period (January 2003-December 2012). The patient’s data were retrieved from the clinic registers, patients’ case notes and theatre registers. Demographic data, predisposing conditions, aetiological factors, site of tympanic membrane perforation, affected ear, treatment modalities, complications of treatment and outcome of management were recorded and analyzed. Results: Seven hundred and twenty three patients were found to have CSOM. These accounted for 9.4% of all otorhinolaryngological cases seen within the study period. There were 385 males and 338 females (male: female ratio of 1.1:1.0). Age range was 3 months to 16 years, mean = 8.2 +/- 3.2 years. Age group 1-5 years has the highest (n=344, 47.6%) number of cases. Bilateral CSOM accounted for the highest number (n=350, 48.4%) of cases. Perforation was found more on the antero inferior aspect of the tympanic membrane and the commonest etiological factor was poorly treated acute otitis media (AOM). The commonest mode of treatment was conservative medical treatment. Conclusion: This study confirmed a prevalence of 9.4% of CSOM in children that attended the ENT clinic in UPTH, Port Harcourt. The commonest type seen was the tubo-tympanic disease with antero-inferior tympanic membrane perforation. However, poorly treated AOM was found to be the commonest etiological factor. The provision of adequate health facilities and eradication of poverty possibly will reduce the prevalence of pediatric CSOM in our environment.