Symptomatic double-channel pylorus. Successful treatment with a biliary sphincterotome.
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.
Department of Surgery, University of Maryland Medical Center, Baltimore 21201.
S M
SM
Graham
F
F
Lin
J L
JL
Flowers
D016145:Endoscopy, Digestive System; D005260:Female; D017219:Gastric Outlet Obstruction / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D010437:Peptic Ulcer / Q000601:surgery; D011183:Postoperative Complications; D011707:Pyloric Stenosis / Q000601:surgery; D011708:Pylorus / Q000601:surgery