Javaid Mahvesh Rana, Yusuf Aasim Mohammad
Barts & The London School of Medicine and Dentistry, London, UK.
BMJ Case Rep. 2013 Jan 22;2013:bcr2012007695. doi: 10.1136/bcr-2012-007695.
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.
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。