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Symptomatic double-channel pylorus. Successful treatment with a biliary sphincterotome
S M Graham1, F Lin, J L Flowers
1Department of Surgery, University of Maryland Medical Center, Baltimore 21201.
Surgical Endoscopy
|July 1, 1994
Abstract:
A patient with a previous vagotomy and pyloroplasty was evaluated for symptoms of gastric outlet obstruction. Endoscopy revealed a thick, fibrous bridge that created a dual-channel pylorus. Symptomatic improvement was not achieved with balloon dilatation. Surgery was avoided by dividing the tissue bridge endoscopically with a sphincterotome. Since reestablishing a normal pyloric aperture, the patient's symptoms have been alleviated. This is the first description of this minimally invasive technique in the management of a symptomatic double-channel pylorus.