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Symptomatic double-channel pylorus

Successful treatment with a biliary sphincterotome

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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.

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Authors and Affiliations

  1. Department of Surgery, University of Maryland Medical Center, 22 South Greene Street, 21201, Baltimore, MD, USA

    S. M. Graham, F. Lin & J. L. Flowers

Authors
  1. S. M. Graham
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  2. F. Lin
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  3. J. L. Flowers
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Graham, S.M., Lin, F. & Flowers, J.L. Symptomatic double-channel pylorus. Surg Endosc 8, 792–793 (1994). https://doi.org/10.1007/BF00593443

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  • DOI: https://doi.org/10.1007/BF00593443

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