| 일시적 스텐트 삽입술에 의한 내시경적 점막하 박리술 후의 유문부 협착 치료 1예 |
| 이원우ㆍ박종재ㆍ오초롱ㆍ남승주ㆍ김기현ㆍ황진기ㆍ김재선ㆍ박영태 |
| 고려대학교 의과대학 구로병원 소화기내과 |
| A Case of Endoscopic Temporary Stent Insertion to Treat a Pyloric Stenosis Caused by Endoscopic Submucosal Dissection for Early Gastric Cancer |
| Won Woo Lee, M.D., Jong-Jae Park, M.D., Cho Rong Oh, M.D., Seung Joo Nam, M.D., Key Hyeon Kim, M.D., Jin Ki Hwang, M.D., Jae Seon Kim, M.D. and Young-Tae Bak, M.D. |
| Department of Gastroenterology, Korea University Medical Center, Guro Hospital, Seoul, Korea |
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| Abstract |
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Circumferential resection by performing endoscopic submucosal dissection (ESD) in the antrum can cause pyloric stenosis. Treatment with balloon dilation usually requires repeated sessions and this may cause bleeding or perforation. There are several studies regarding the treatment of benign pyloric stenosis by the temporary placement of self-expandable metallic stent (SEMS), but these studies did not include any case of pyloric stenosis caused by ESD for treating early gastric cancer (EGC). We experience a case of a man who had EGC encircling the antrum. After ESD, pyloric stenosis occurred and so a SEMS was applied. Eight weeks later, the stent was removed without complications. Stent insertion for benign pyloric stenosis has not been accepted as a standard therapeutic modality. However, continuous dilation of a stenotic lesion can be expected without major complications, except for migration. Therefore, temporary stent insertion can be considered as an alternative treatment option for benign pyloric stenosis. Further study on the long term outcome of this procedure is needed. (Korean J Gastrointest Endosc 2008;37:429-432) |
| Key Words:
Endoscopic submucosal dissection, Pyloric stenosis, Stent |
| 주요어:
내시경적 점막하 박리술, 유문부 협착, 스텐트 삽입술 |
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