反复肠道支架梗阻后应用超声内镜引导下胃肠吻合术治疗恶性胃流出道梗阻1例
摘要
<正>1 病例介绍患者男,53岁,因确诊胃癌16个月,反复进食梗阻、呕吐1年入院。胃癌确诊后拒绝行外科手术,共予SOX方案化疗2个周期及RO-1方案化疗8个周期,2016年4月胃镜示胃癌伴幽门完全梗阻,行内镜下幽门金属支架置入术,2016年7月再次出现进食梗阻、呕吐,行胃镜并于原支架处再置入1枚金属支架,2017年2月因症状再发加重而再次于幽门部位置入1枚金属支架。入院1周前患者上述症状再发,遂于2017年5月收入我科。患者近半年体质量减
引文
[1]王雷,吕瑛,李雯,等.内镜超声引导球囊辅助的胃肠吻合术在治疗恶性胃流出道梗阻中的初步应用[J].中华消化内镜杂志,2017,34(6):441-443.
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[3]KHASHAB M,ALAWAD A S,SHIN E J,et al.Enteral stenting versus gastrojejunostomy for palliation of malignant gastric outlet obstruction[J].Surg Endosc,2013,27:2068-2075.
[4]CHEN Y I,ITOI T,BARON T H,et al.EUS-guided gastroenterostomy is comparable to enteral stenting with fewer re-interventions in malignant gastric outlet obstruction[J].Surg Endosc,2017,31:2946-2952.
[2]van HOOFT J E,UITDEHAAG M J,BRUNO M J,et al.Efficacy and safety of the new WallFlex enteral stent in palliative treatment of malignant gastric outlet obstruction(DUOFLEX study):aprospective multicenter study[J].Gastrointest Endosc,2009,69:1059-1066.
[3]KHASHAB M,ALAWAD A S,SHIN E J,et al.Enteral stenting versus gastrojejunostomy for palliation of malignant gastric outlet obstruction[J].Surg Endosc,2013,27:2068-2075.
[4]CHEN Y I,ITOI T,BARON T H,et al.EUS-guided gastroenterostomy is comparable to enteral stenting with fewer re-interventions in malignant gastric outlet obstruction[J].Surg Endosc,2017,31:2946-2952.