Long-Term Outcome of Endoscopic Balloon Dilatation of Benign Pyloric Stricture / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 838-843, 2000.
Artigo
em Coreano
| WPRIM
| ID: wpr-116039
ABSTRACT
BACKGROUND/AIMS:
Balloon dilatation is a useful alternative to surgery in patients with benign pyloric stenosis. However, little data are available on the long-term outcome of the procedure. This report was attempted to determine the safety and efficacy of endoscopic balloon dilatation for 14 patients with gastric outlet obstruction caused by duodenal ulcer.METHODS:
Review of medical records or telephone interview was performed retrospectively.RESULTS:
Follow-up was conducted for median 18.5 months (3-48 months). Gastric outlet strictures had a median diameter 6 mm (range, 2-9 mm). Five (35.7%) patients had active ulcer. 12 mm to 18 mm balloons were inflated a median of 1 times (range, 1-4 times) for a median of 4 minutes (range, 1-11 minutes). Thirty-two procedure (1.5/patient) were performed; 9 patients (64.3%) had one treatment and 5 patients (35.7%) had multiple treatment. Immediate symptomatic relief was achieved in 13 patients (92.8%) and 7 patients (50%) achieved sustained symptomatic relief. Dilatation failed only in 2 patients (14.3%) ultimately and both recovered by palliative bypass surgery. No complication was noted during treatment.CONCLUSIONS:
Endoscopic balloon dilatation is safe and effective for most patients with gastric outlet obstruction induced by duodenal ulcer. And due to limitation of retrospective aspect of this report, further prospective, randomized studies must be performed.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Estenose Pilórica
/
Úlcera
/
Prontuários Médicos
/
Entrevistas como Assunto
/
Estudos Retrospectivos
/
Seguimentos
/
Obstrução da Saída Gástrica
/
Constrição Patológica
/
Dilatação
/
Úlcera Duodenal
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Pesquisa qualitativa
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2000
Tipo de documento:
Artigo
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