Jee Sam Ryong, Cho Joo Young, Kim Kyung Ho, Kim Sang Gyun, Cho Jun-Hyung
Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Clin Endosc. 2013 Jul;46(4):342-54. doi: 10.5946/ce.2013.46.4.342. Epub 2013 Jul 31.
Endoscopic stents have evolved dramatically over the past 20 years. With the introduction of uncovered self-expanding metal stents in the early 1990s, they are primarily used to palliate symptoms of malignant obstruction in patients with inoperable gastrointestinal (GI) cancer. At present, stents have emerged as an effective, safe, and less invasive alternative for the treatment of malignant GI obstruction. Clinical decisions about stent placement should be made based on the exact understanding of the patient's condition. These recommendations based on a critical review of the available data and expert consensus are made for the purpose of providing endoscopists with information about stent placement. These can be helpful for management of patients with inoperable cancer or various nonmalignant conditions in the upper GI tract.
在过去20年里,内镜支架有了显著发展。随着20世纪90年代初裸金属自膨式支架的引入,它们主要用于缓解无法手术的胃肠道(GI)癌患者的恶性梗阻症状。目前,支架已成为治疗恶性胃肠道梗阻的一种有效、安全且侵入性较小的替代方法。关于支架置入的临床决策应基于对患者病情的确切了解。这些基于对现有数据的严格审查和专家共识提出的建议,旨在为内镜医师提供有关支架置入的信息。这有助于管理无法手术的癌症患者或上消化道的各种非恶性疾病。