Two Cases of Pyloric Stenosis Caused by Endoscopic Submucosal Dissection.
- Author:
Sang Hoon PARK
1
;
Jin Woong CHO
;
Yong Keun CHO
;
Ji Woong KIM
;
Gum Mo JUNG
;
Young Jae LEE
Author Information
1. Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea. jeja-1004@hanmail.net
- Publication Type:Case Report
- Keywords:
Endoscopic submucosal dissection;
Pyloric stenosis;
Balloon dilation
- MeSH:
Cardia;
Constriction, Pathologic;
Endoscopy;
Follow-Up Studies;
Humans;
Pyloric Stenosis;
Pylorus;
Risk Factors;
Stomach;
Stomach Neoplasms
- From:Korean Journal of Gastrointestinal Endoscopy
2010;40(4):261-265
- CountryRepublic of Korea
- Language:Korean
-
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.
