Traversa G, Zippi M, Colaiacomo M C, Gualdi G F, Occhigrossi G
Unità di Endoscopia Digestiva e Gastroenterologia, Ospedale Sandro Pertini, Roma, Italia.
Clin Ter. 2007 May-Jun;158(3):249-51.
Gastroduodenal obstruction is a preterminal event in patients with advanced malignancies of the stomach, pancreas and duodenum. Surgical gastrojejunostomy has been considered the traditional palliative treatment. The use of metallic stents is intended not to be curative but to provide nonsurgical palliation for the symptoms of obstruction. The advantages of this technique are the minor invasivity, the decrease in morbidity and mortality respect the surgical approach, the patient that can be discharged the day of or the day after the procedure and the better life expectation.
胃十二指肠梗阻是胃、胰腺和十二指肠晚期恶性肿瘤患者的终末期事件。外科胃空肠吻合术一直被视为传统的姑息治疗方法。使用金属支架并非旨在治愈疾病,而是为梗阻症状提供非手术姑息治疗。该技术的优点包括微创性、相对于手术方法发病率和死亡率降低、患者可在术后当天或次日出院以及更好的预期寿命。