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Case of gastric outlet stenosis with features of pyloric stenosis diagnosed by using peppermint oil solution as a new antispasmodic
Author(s) -
Hiki Naoki,
Kurosaka Hanzo,
Tatsutomi Yusuke,
Yamaguchi Hirokazu,
Shimizu Nobuyuki,
Kubota Keisuke,
Aoki Fumio,
Shimoyama Shouji,
Hirooka Tatsuo,
Mafune Kenichi,
Kaminishi Michio
Publication year - 2003
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1046/j.1443-1661.2003.00251.x
Subject(s) - medicine , antispasmodic , stenosis , antrum , pylorus , pyloric stenosis , stomach , endoscope , surgery , gastroenterology , radiology
We report a case of gastric outlet stenosis successfully diagnosed as an antral stenosis of the stomach in an 80‐year‐old male. Severe stenosis can be very difficult to diagnose and treat because it may be difficult to visualize the gastrointestinal tract in the area distal to the stenosis. In the present case, it had not been possible to view the area distal to the stenosis by endoscope using hyoscine‐ N ‐butylbromide (Buscopan). Peppermint oil solution is clinically inert but can inhibit gastrointestinal motility. In a recent double‐blind, double‐dummy controlled trial we showed that intraluminally administered peppermint oil solution was a more effective and safer antispasmodic agent than Buscopan. In the present case, where there was severe antral stenosis of the stomach, use of peppermint oil solution as an antispasmodic enabled us for the first time to successfully extend the tip of the endoscope to the duodenal bulbs in the area distal to the stenosis.