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 |
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Abstract |
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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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