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Symptomatic double-channel pylorus. Successful treatment with a biliary sphincterotome.

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.
AuthorsS M Graham, F Lin, J L Flowers
JournalSurgical endoscopy (Surg Endosc) Vol. 8 Issue 7 Pg. 792-3 (Jul 1994) ISSN: 0930-2794 [Print] Germany
PMID7974109 (Publication Type: Case Reports, Journal Article)
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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