Beck Emima, Moriya Hiromitsu, Kuroyama Shinichi, Morise Masaki, Kobayashi Nobuyuki, Shimao Hitoshi, Watanabe Masahiko
Dept. of Surgery, Kitasato University School of Medicine.
Gan To Kagaku Ryoho. 2006 Dec;33 Suppl 2:288-90.
The stent treatment using a self expandable metallic stent (EMS) can improve the pyloric stenosis with inoperable advanced cancer. This stent treatment is minimally invasive, and the patients can take a meal immediately after the treatment. However, a placement of a stent using an endoscope is difficult because straightening up the endoscope in the stomach is an impossible task in the case of using an oral endoscope. Therefore, we used PEG and we could easily place the EMS through PEG for pyloric stenosis. We report the three cases of pyloric stenosis with an inoperable advanced gastric and pancreas cancers using this technique. In all cases, pyloric stenosis were improved, and they could take it from a mouth and could receive home care for a while. We think this technique is feasible and beneficial.
使用自膨式金属支架(EMS)进行支架治疗可改善无法手术的晚期癌症所致的幽门狭窄。这种支架治疗微创,患者治疗后可立即进食。然而,使用内窥镜放置支架很困难,因为在使用口腔内窥镜的情况下,在胃内将内窥镜伸直是一项不可能完成的任务。因此,我们使用了经皮内镜下胃造瘘术(PEG),通过PEG能够轻松地为幽门狭窄患者放置EMS。我们报告了使用该技术治疗3例无法手术的晚期胃癌和胰腺癌所致幽门狭窄的病例。在所有病例中,幽门狭窄均得到改善,患者能够经口进食并可居家护理一段时间。我们认为该技术可行且有益。