Korean Journal of Gastrointestinal Endoscopy 2001;22(2): 65-69.
원저 : 성인 위 배출구 폐쇄의 임상 양상의 변화 및 내시경술의 의의 ( Change of Clinical Patterns and Significance of Endoscopy in Gastric Outlet Obstruction )
함정호(Jeong Ho Ham),이석호(Seok Ho Lee),김은주(Eun Joo Kim),정일권(Il Kwun Chung),김홍수(Hong Soo Kim),박상홈(Sang Heum Park),이문호(Moon Ho Lee),김선주(Sun Joo Kim)
Abstract
Background/Aims: The causes of gastric outlet obstruction (GOO) have changed from peptic ulcer disease (PUD) to malignant diseases in recent years. The aims of this study are to determine the relative incidence of malignany and other causative diseases, and to consider therapeutic and diagnostic usefulness of endoscopy. Methods: 95 patients with GOO who diagnosed by radiologic and endoscopic examination or surgery were reviewed by causative diseases, clinical features, endoscopic findings and outcome of treatment. Results: 1) The mean age was 57.5 years (M: F=2.4: 1). 2) The causative diseases were gastric or duodenal malignancy (56.8%), complication of PUD (39.2%), and biliary and pancreatic disease (4,2%). 3) Malignancy was diagnosed by upper gastrointestinal (UGI) endoscopy in 95.8%; obstruction by complication of PUD was detected by endoscopy in 100%. 4) The most common endoscopic type of malignancy was Borrman type 3 (84.8%) and the most common benign lesions were duodenal or pyloric ulcer (94.5o). 5) The managements of malignancy were operation (53.5%), endoscopic stenting (18.5%), and conservative treatment (38.8%). The complications of PUD were treated by anti-ulcer medication (S5.3%), endoscopic dilatation (4.8%) and operation (13.6%). Conclusions: The main causes of GOO are changed to malignancy in recent 5 years. Endoscopy is useful to detect the various causes of GOO, and necessary procedure to decide the method of their management. (Korean J Gastrointest Endosc 2001;22:65 - 69)