Benign duodenal strictures: treatment by means of fluoroscopically guided balloon dilation |
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Authors: | Kim Jin Hyoung Shin Ji Hoon Di Zhen-Hai Ko Gi Young Yoon Hyun-Ki Sung Kyu-Bo Song Ho-Young |
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Institution: | Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Pungnap-2dong, Songpa-gu, Seoul 138-736, Korea. |
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Abstract: | Fluoroscopically guided balloon (15 or 20 mm in diameter) dilation was performed on eight patients with benign duodenal strictures caused by peptic ulcers (n = 6), Crohn's disease (n = 1), and postoperative adhesion (n = 1). The procedure was technically and clinically successful without complications in seven of the eight patients (88%). Duodenal perforation occurred immediately after 20-mm-diameter balloon dilation in one patient who underwent emergency surgery. During the mean follow-up of 30 months (range, 2-103 months), there was recurrence in two of the seven patients (29%) who then underwent surgery. The other five patients (71%) showed good results with no recurrence. |
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