Dye T E, Vidals V G, Lockhart C E, Snider W R
Am Surg. 1979 Jul;45(7):478-84.
Adult hypertrophic pyloric stenosis is an unusual disease of obscure etiology which causes varying degrees of gastric outlet obstruction. Diagnosis by history, physical examination, and roentgenography is difficult but can be readily made with fiberoptic gastroscopy where a characteristic pyloric "cervix sign" is seen. All of the many operations for relief of gastric outlet obstruction have been tried with this lesion, with resection and Billroth I reanastomosis the accepted treatment. Two patients are reported with adult hypertrophic pyloric stenosis who had typical endoscopic findings. One was treated with distal gastrectomy, and the other was adequately treated by endoscopic dilatation alone. It is suggested that endoscopic dilatation is acceptable as primary therapy in suitable cases.
成人肥厚性幽门狭窄是一种病因不明的罕见疾病，可导致不同程度的胃出口梗阻。通过病史、体格检查和X线检查进行诊断较为困难，但纤维胃镜检查可轻松做出诊断，在胃镜下可见特征性的幽门“宫颈征”。针对这种病变，人们尝试了所有用于缓解胃出口梗阻的手术方法，目前公认的治疗方法是切除并进行毕Ⅰ式再吻合术。本文报告了两名患有成人肥厚性幽门狭窄且有典型内镜表现的患者。其中一名接受了远端胃切除术，另一名仅通过内镜扩张就得到了充分治疗。有人认为，在合适的病例中，内镜扩张可作为主要治疗方法。
