Brimhall Bryan, Adler Douglas G
Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT 84132, USA.
Gastrointest Endosc Clin N Am. 2011 Jul;21(3):389-403, vii-viii. doi: 10.1016/j.giec.2011.04.002.
Malignant gastric outlet obstruction (GOO) is a commonly encountered entity, defined as the inability of the stomach to empty because of mechanical obstruction at the level of either the stomach or the proximal small bowel. In this article, current literature on GOO is reviewed with a focus on enteral stents to include symptoms and diagnosis, stent and nonstent treatment, types of enteral stents, indications and contraindications to stent placement, and technical and clinical success rates. In comparison with gastrojejunostomy, enteral stent placement is better suited for patients with a shorter life expectancy and/or those who are poor surgical candidates.
恶性胃出口梗阻(GOO)是一种常见病症,定义为由于胃或近端小肠水平的机械性梗阻导致胃无法排空。本文对有关GOO的当前文献进行综述,重点关注肠内支架,内容包括症状与诊断、支架及非支架治疗、肠内支架类型、支架置入的适应证和禁忌证,以及技术成功率和临床成功率。与胃空肠吻合术相比,肠内支架置入更适合预期寿命较短和/或手术耐受性差的患者。