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使用球囊辅助外套管技术进行小肠支架置入术治疗恶性小肠梗阻

Small Bowel Stent-in-Stent Placement for Malignant Small Bowel Obstruction Using a Balloon-Assisted Overtube Technique.

作者信息

Popa Daniel, Ramesh Jayapal, Peter Shajan, Wilcox C Mel, Mönkemüller Klaus

机构信息

Division of Gastroenterology and Hepatology, Basil Hirschowitz Endoscopic Center of Excellence, University of Alabama at Birmingham, Birmingham, AL, USA.

出版信息

Clin Endosc. 2014 Jan;47(1):108-11. doi: 10.5946/ce.2014.47.1.108. Epub 2014 Jan 24.

DOI:10.5946/ce.2014.47.1.108
PMID:24570892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3928482/
Abstract

Self-expanding metal stents are a useful therapy to palliate malignant and benign luminal gastrointestinal obstruction. Self-expanding metal stents has been widely reported for colonic, esophageal, and gastric obstruction. However, endoscopic delivery and placement to the small bowel is more challenging and difficult. This case illustrates the usefulness and technical advantages of the balloon-overtube and enteroscopy technique for the palliative treatment of neoplastic stenosis affecting the small intestine.

摘要

自膨式金属支架是缓解恶性和良性腔内胃肠道梗阻的一种有效治疗方法。自膨式金属支架已广泛应用于结肠、食管和胃梗阻的报道。然而，通过内镜将其输送并放置到小肠更具挑战性和难度。本病例说明了球囊外套管和小肠镜技术在姑息治疗影响小肠的肿瘤性狭窄中的实用性和技术优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/f514c4f60512/ce-47-108-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/0082202fabc6/ce-47-108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/ea020eb4ceda/ce-47-108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/d383c4387f74/ce-47-108-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/d40bf9daa620/ce-47-108-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/23f46ede25f9/ce-47-108-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/0810347aaa43/ce-47-108-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/f514c4f60512/ce-47-108-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/0082202fabc6/ce-47-108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/ea020eb4ceda/ce-47-108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/d383c4387f74/ce-47-108-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/d40bf9daa620/ce-47-108-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/23f46ede25f9/ce-47-108-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/0810347aaa43/ce-47-108-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9a5/3928482/f514c4f60512/ce-47-108-g007.jpg

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本文引用的文献

1
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World J Gastroenterol. 2012 Jul 28;18(28):3732-7. doi: 10.3748/wjg.v18.i28.3732.
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Malignant small bowel obstruction: the last frontier for gastrointestinal stenting.恶性小肠梗阻：胃肠支架置入的最后前沿领域。
J Gastroenterol Hepatol. 2012 Jul;27(7):1136-7. doi: 10.1111/j.1440-1746.2012.07162.x.
3
Preliminary study of enteroscopy-guided, self-expandable metal stent placement for malignant small bowel obstruction.
金属支架置入治疗腹膜转移所致输入袢梗阻——5例经验
Clin Endosc. 2018 May;51(3):299-303. doi: 10.5946/ce.2018.005. Epub 2018 Apr 18.
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How to treat intestinal obstruction due to malignant recurrence after Whipple's resection for pancreatic head cancer: Description of 2 new endoscopic techniques.胰头癌胰十二指肠切除术后恶性复发导致肠梗阻的内镜治疗：两种新技术的描述。
World J Gastroenterol. 2017 Sep 7;23(33):6181-6186. doi: 10.3748/wjg.v23.i33.6181.
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Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions.自膨式金属支架在恶性小肠梗阻中的安全性和有效性。
World J Gastroenterol. 2016 Oct 28;22(40):9022-9027. doi: 10.3748/wjg.v22.i40.9022.
6
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World J Gastroenterol. 2015 Jun 28;21(24):7589-93. doi: 10.3748/wjg.v21.i24.7589.
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World J Gastroenterol. 2015 Feb 28;21(8):2467-74. doi: 10.3748/wjg.v21.i8.2467.
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4
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