Graham S M, Lin F, Flowers J L
Department of Surgery, University of Maryland Medical Center, Baltimore 21201.
Surg Endosc. 1994 Jul;8(7):792-3. doi: 10.1007/BF00593443.
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.
一名曾接受迷走神经切断术和幽门成形术的患者因胃出口梗阻症状接受评估。内镜检查发现一条增厚的纤维桥形成了双腔幽门。球囊扩张术未能实现症状改善。通过用括约肌切开器在内镜下分离组织桥避免了手术。自从重新建立正常的幽门孔径后，患者的症状得到了缓解。这是关于这种微创技术治疗有症状双腔幽门的首次描述。
