Korean J Gastrointest Endosc > Volume 40(4); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(4): 261-265.
내시경 점막하 박리술 후에 발생한 유문부 협착 2예
박상훈ㆍ조진웅ㆍ조용근ㆍ김지웅ㆍ정금모ㆍ이영재
예수병원 소화기내과
Two Cases of Pyloric Stenosis Caused by Endoscopic Submucosal Dissection
Sang Hoon Park, M.D., Jin Woong Cho, M.D., Yong Keun Cho, M.D., Ji Woong Kim, M.D.,Gum Mo Jung, M.D. and Young Jae Lee, M.D.
Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea
Abstract
Endoscopic Submucosal Dissection (ESD) has recently become a widely accepted treatment for premalignent lesions of the stomach and early gastric cancer. Post-ESD stenosis is a rare complication of ESD, but this can be caused by the removal of a large lesion when lesions are located near the cardia or pylorus. We experienced two cases of post-ESD stenosis. One developed in a high risk patient and this was treated by repeated balloon dilation. The other occurred in a patient who was without risk factors, but the stenosis improved spontaneously. It is important that we should perform early follow-up endoscopy in patients who are at a high risk for post-ESD stenosis, and administer effective treatment. (Korean J Gastrointest Endosc 2010;40:261-265)
Key Words: Endoscopic submucosal dissection, Pyloric stenosis, Balloon dilation
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