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Korean J Pancreas Biliary Tract > Volume 17(2):2012 > Article
The Korean Journal of Pancreas and Biliary Tract 2012;17(2):33-36.
ERCP 중 관찰된 유문 협착 부위를 풍선 확장술로 통과한 1예
이상직, 이현석, 장세영, 조창민, 정민규
경북대학교 의학전문대학원 내과학교실
A Case of Passing through Pyloric Stenosis with Balloon Dilatation during Endoscopic Retrograde Cholangiopancreatography
Sang Jik Lee, Hyun Seok Lee, Se Young Jang, Chang Min Cho, Min Kyu Jung
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea
ABSTRACT
Endoscopic balloon dilatation is a useful alternative to surgery in patient with benign pyloric stenosis caused by duodenal ulcer. However, there is little report about passing through pyloric stenosis with balloon dilatation using duodenoscope during Endoscopic retrograde cholangiopancreatography (ERCP). We report a 90 year-old woman’s case of passing through benign pyloric stenosis with balloon dilatation observed accidentally during a duodenoscope insertion for ERCP, which caused by pyloric and duodenal ulcer. Duodenoscope could not pass through pyloric stenosis initially, but gastroscope which is thinner than duodenoscope could pass. The pyloric stenosis was successfully dilated with endoscopic balloon dilatation using duodenoscope, and duodenoscope could pass through the dilated pylorus at the same time. Then, we performed the planned ERCP with duodenoscope safely
Keywords: endoscopic retrograde cholangiopancreatography, pyloric stenosis, balloon dilatation
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