Abstract |
A patient with a previous vagotomy and pyloroplasty was evaluated for symptoms of gastric outlet obstruction. Endoscopy revealed a thick, fibrous bridge that created a dual-channel pylorus. Symptomatic improvement was not achieved with balloon dilatation. Surgery was avoided by dividing the tissue bridge endoscopically with a sphincterotome. Since reestablishing a normal pyloric aperture, the patient's symptoms have been alleviated. This is the first description of this minimally invasive technique in the management of a symptomatic double-channel pylorus.
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Authors | S M Graham, F Lin, J L Flowers |
Journal | Surgical endoscopy
(Surg Endosc)
Vol. 8
Issue 7
Pg. 792-3
(Jul 1994)
ISSN: 0930-2794 [Print] Germany |
PMID | 7974109
(Publication Type: Case Reports, Journal Article)
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Topics |
- Endoscopy, Digestive System
- Female
- Gastric Outlet Obstruction
(diagnosis)
- Humans
- Middle Aged
- Peptic Ulcer
(surgery)
- Postoperative Complications
- Pyloric Stenosis
(surgery)
- Pylorus
(surgery)
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