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一种罕见的即刻并发症:金属幽门支架断裂。

An instant rare complication: a fractured metallic pyloric stent.

作者信息

Javaid Mahvesh Rana, Yusuf Aasim Mohammad

机构信息

Barts & The London School of Medicine and Dentistry, London, UK.

出版信息

BMJ Case Rep. 2013 Jan 22;2013:bcr2012007695. doi: 10.1136/bcr-2012-007695.

Abstract

Metallic pyloric stenting (also termed as metallic enteral stenting) performed endoscopically, stands as first-line treatment for malignant gastric outlet obstruction. With reported evidence, these self-expandable metallic stents (SEMS) re-enable oral food intake, preventing patients having to face invasive techniques such as surgical gastroenterostomy. We report a patient having received a covered pyloric SEMS insertion following a tumour growth causing stenosis in the gastric antropyloric region. After 3 weeks, the patient presented with a fracture of the pyloric SEMS, a rare complication, resulting in a second pyloric SEMS insertion.

摘要

经内镜进行的金属幽门支架置入术(也称为金属肠道支架置入术)是恶性胃出口梗阻的一线治疗方法。有报道表明,这些自膨式金属支架(SEMS)可恢复经口进食,使患者无需面对诸如外科胃肠吻合术等侵入性技术。我们报告了一名患者,其胃窦幽门区域因肿瘤生长导致狭窄,在接受了带膜幽门SEMS置入术后,3周后出现了幽门SEMS断裂这一罕见并发症,遂再次进行幽门SEMS置入。

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Early covered-stent fracture after placement for a benign esophageal stricture.良性食管狭窄放置覆膜支架后早期出现支架断裂。
Gastrointest Endosc. 2010 Dec;72(6):1260-1; discussion 1261. doi: 10.1016/j.gie.2010.04.047. Epub 2010 Jul 13.
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Repeated enteral stent fracture in patient with benign duodenal stricture.良性十二指肠狭窄患者反复出现肠内支架断裂
Gastrointest Endosc. 2010 Sep;72(3):655-7. doi: 10.1016/j.gie.2009.12.017. Epub 2010 Mar 29.

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