Diaphragm disease of duodenum following long-term NSAIDs use: endoscopic management.
We report our experience with endoscopic management of 3 men (aged 62, 63 and 65 years) with duodenal diaphragm disease following NSAID use for 5-15 years. In the first patient a 24 F through-the-scope balloon dilatation was attempted but failed; he subsequently underwent gastro-jejunostomy. The other two patients subsequently underwent radial incisions of the web with mixed cutting and coagulation current using a standard 5 F sphincterotome.
Puri
A S
AS
Department of Gastroenterology, G B Pant Hospital, New Delhi-110 002, India. purias233@msn.com
Monga
R
R
Garg
S
S
Sharma
B C
BC
Satapathy
S
S
Sarin
S K
SK
D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects* / Q000627:therapeutic use; D003964:Diaphragm / Q000473:pathology; D004305:Dose-Response Relationship, Drug; D004380:Duodenal Obstruction / Q000139:chemically induced* / Q000601:surgery*; D004384:Duodenoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012216:Rheumatic Diseases / Q000175:diagnosis / Q000188:drug therapy; D018570:Risk Assessment; D012494:Sampling Studies; D016896:Treatment Outcome
D000894:Anti-Inflammatory Agents, Non-Steroidal