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晚期胰腺癌所致十二指肠梗阻:胃肠吻合术在缓解症状方面的效果如何?

Duodenal obstruction in advanced pancreatic carcinoma: how effective is gastroenterostomy in palliation?

作者信息

Geoghegan J, Delaney P V, Egan T J

机构信息

Department of Surgery, Limerick Regional Hospital, Dooradoyle, Republic of Ireland.

出版信息

Ir J Med Sci. 1990 Jul;159(7):213-4. doi: 10.1007/BF02937268.

DOI:10.1007/BF02937268
PMID:1704358
Abstract

Gastro-enterostomy produces variable and often disappointing results in the management of duodenal obstruction due to advanced pancreatic carcinoma. In a series of 51 patients who had palliative surgery for carcinoma of the pancreas five required a gastro-enterostomy. Three of these subsequently had difficulty with gastric emptying. The problem of gastro-enterostomy failure in palliation of pancreatic carcinoma is discussed.

摘要

胃空肠吻合术在治疗晚期胰腺癌所致十二指肠梗阻时,效果不一,且常常令人失望。在一组51例行胰腺癌姑息性手术的患者中,有5例需要进行胃空肠吻合术。其中3例随后出现胃排空困难。本文讨论了胃空肠吻合术在胰腺癌姑息治疗中失败的问题。

相似文献

1
Duodenal obstruction in advanced pancreatic carcinoma: how effective is gastroenterostomy in palliation?晚期胰腺癌所致十二指肠梗阻:胃肠吻合术在缓解症状方面的效果如何?
Ir J Med Sci. 1990 Jul;159(7):213-4. doi: 10.1007/BF02937268.
2
Role of prophylactic gastroenterostomy for unresectable pancreatic carcinoma.预防性胃肠吻合术在不可切除胰腺癌中的作用。
Am Surg. 1995 Oct;61(10):862-4.
3
[The surgical treatment of chronic duodenal obstruction in combination with chronic pancreatitis and tumors of the pancreaticoduodenal area].[慢性十二指肠梗阻合并慢性胰腺炎及胰十二指肠区肿瘤的外科治疗]
Vestn Khir Im I I Grek. 1997;156(4):42-5.
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[Palliative celioscopic gastrojejunal anastomosis in the treatment of neoplastic duodenal stenoses].[姑息性腹腔镜胃空肠吻合术治疗肿瘤性十二指肠狭窄]
J Chir (Paris). 1995 Oct;132(10):391-2.
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Role of gastroenterostomy in patients with unresectable carcinoma of the pancreas.胃肠吻合术在无法切除的胰腺癌患者中的作用。
Surg Gynecol Obstet. 1981 May;152(5):597-600.
6
Complete malignant gastro-duodenal outlet obstruction and direct endoscopic ultrasound-guided gastroenterostomy.完全性恶性胃十二指肠输出道梗阻与直接内镜超声引导下胃肠造口术
Gastroenterol Hepatol. 2024 Jun-Jul;47(6):622-624. doi: 10.1016/j.gastrohep.2023.09.008. Epub 2023 Oct 7.
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Laparoscopic gastroenterostomy for duodenal obstruction.腹腔镜十二指肠梗阻胃肠吻合术
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Eur J Surg. 1999 Jun;165(6):556-9. doi: 10.1080/110241599750006451.
9
Pancreatic carcinoma: surgical treatment.胰腺癌:外科治疗
Can J Surg. 1984 Nov;27(6):559-60.
10
Gastric outlet obstruction after palliative surgery for cancer of head of pancreas.胰头癌姑息性手术后的胃出口梗阻
Arch Surg. 1983 May;118(5):550-3. doi: 10.1001/archsurg.1983.01390050034006.

本文引用的文献

1
Tumor-associated gastroparesis: correction with metoclopramide.肿瘤相关性胃轻瘫:用甲氧氯普胺纠正。
Am J Surg. 1983 Feb;145(2):221-5. doi: 10.1016/0002-9610(83)90067-3.
2
Role of gastroenterostomy in patients with unresectable carcinoma of the pancreas.胃肠吻合术在无法切除的胰腺癌患者中的作用。
Surg Gynecol Obstet. 1981 May;152(5):597-600.
3
Palliative gastroenterostomy for pancreatic cancer.胰腺癌的姑息性胃肠吻合术
Am J Surg. 1984 Jun;147(6):793-6. doi: 10.1016/0002-9610(84)90203-4.
4
Gastric outlet obstruction after palliative surgery for cancer of head of pancreas.胰头癌姑息性手术后的胃出口梗阻
Arch Surg. 1983 May;118(5):550-3. doi: 10.1001/archsurg.1983.01390050034006.
5
Evaluation of palliative procedures for pancreatic cancer.胰腺癌姑息治疗方法的评估
Am J Surg. 1981 Apr;141(4):430-3. doi: 10.1016/0002-9610(81)90135-5.
6
Effect of corporal and antral gastrojejunostomy on canine gastric emptying of solid spheres and liquids.体部与胃窦部胃空肠吻合术对犬固体球粒和液体胃排空的影响。
Br J Surg. 1973 Nov;60(11):880-4. doi: 10.1002/bjs.1800601112.
7
Pancreatic carcinoma is associated with delayed gastric emptying.
Dig Dis Sci. 1986 Mar;31(3):265-7. doi: 10.1007/BF01318117.
8
The impact of technology and improved perioperative management upon survival from carcinoma of the pancreas.
Surg Gynecol Obstet. 1987 Mar;164(3):237-44.
9
Operative therapy for pancreatic carcinoma.胰腺癌的手术治疗
Am J Surg. 1986 May;151(5):626-30. doi: 10.1016/0002-9610(86)90575-1.
10
Impact of radiotherapy on palliative gastroenterostomy in pancreatic cancer.放疗对胰腺癌姑息性胃肠吻合术的影响
Ann Surg. 1985 Dec;202(6):725-8. doi: 10.1097/00000658-198512000-00011.