| Combined use of electrosurgical incisions and balloon dilatation for the treatment of refractory postoperative pyloric stenosis. | |
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MedLine Citation:
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PMID: 11275897 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Drug therapy plus balloon dilatation without gastroscopic incision does not always relieve postoperative pyloric stenosis. METHODS: Five patients with postoperative pyloric stenosis whose symptoms did not improve with drug therapy and balloon dilatation underwent a combination of gastroscopic incision and balloon dilatation. Two or 3 small radial incisions were made in the stenotic muscle of the pylorus electrosurgically at gastroscopy. Then the stenotic muscle layer was loosened and split bluntly along the incisions with balloon dilatation for 15 to 20 minutes. One week later, the combination procedure or balloon dilatation alone was repeated to prevent restenosis. RESULTS: In the 5 patients, the stenosis was improved with the combination therapy. No complications were observed. CONCLUSIONS: Combined use of gastroscopic incision and balloon dilatation may be considered for patients with refractory pyloric stenosis caused by surgical truncal vagotomy. |
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Authors:
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A Hagiwara; Y Sonoyama; T Togawa; J Yamasaki; C Sakakura; H Yamagishi |
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Publication Detail:
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Type: Case Reports; Evaluation Studies; Journal Article |
Journal Detail:
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Title: Gastrointestinal endoscopy Volume: 53 ISSN: 0016-5107 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 2001 Apr |
Date Detail:
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Created Date: 2001-03-29 Completed Date: 2001-08-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: United States |
Other Details:
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Languages: eng Pagination: 504-8 Citation Subset: IM |
Affiliation:
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Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Balloon Dilatation / methods* Barium Radioisotopes / diagnostic use Combined Modality Therapy Drug Resistance Electrosurgery / methods* Gastroscopy Humans Male Middle Aged Pyloric Stenosis / etiology, pathology, therapy* Pylorus / radionuclide imaging Vagotomy / adverse effects* |
| Chemical | |
Reg. No./Substance:
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0/Barium Radioisotopes |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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