ENDOSCOPIC HYDROSTATIC BALLOON DILATION OF ULCER-INDUCED PYLORIC-STENOSIS IN RHEUMATOID-ARTHRITIS AND SECONDARY AMYLOIDOSIS

Authors
HIZAWA K OHTA Y SATOU H AOYAGI K EGUCHI K FUJISHIMA M
Citation
K. Hizawa et al., ENDOSCOPIC HYDROSTATIC BALLOON DILATION OF ULCER-INDUCED PYLORIC-STENOSIS IN RHEUMATOID-ARTHRITIS AND SECONDARY AMYLOIDOSIS, Surgical endoscopy, 11(6), 1997, pp. 673-675
Citations number
15
Categorie Soggetti
Surgery
Journal title
Surgical endoscopy → ACNP
ISSN journal
09302794
Volume
11
Issue
6
Year of publication
1997
Pages
673 - 675
Database
ISI
SICI code
0930-2794(1997)11:6<673:EHBDOU>2.0.ZU;2-Y
Abstract
We describe a 50-year-old Japanese woman with rheumatoid arthritis who presented with near-complete gastric outlet obstruction. The patient also suffered from secondary gastrointestinal and cardiac amyloidosis. Gastroscopy revealed multiple huge gastric antral ulcers in which amy loid deposits were identified on histologic examination. The ulcers be came scars after treatment with omeprazole, which cause in severe pylo ric stenosis. Endoscopic hydrostatic balloon dilation under fluoroscop ic guidance was performed twice for 10 min. The pyloric outlet remaine d sufficiently patent 22 months later.