Pinson Ross, Pathirana Induruwa, Magulick John, Domanski Jeremy, Okoh Emuejevoke, Womeldorph Craig
Department of Medicine, Division of Gastroenterology, San Antonio Military Medical Center, San Antonio, TX.
ACG Case Rep J. 2017 Feb 1;4:e20. doi: 10.14309/crj.2017.20. eCollection 2017.
Current guidelines recommend management of benign gastric outlet obstruction (GOO) with serial dilations. Self-expanding metal stents are effective, but their use is complicated by high rates of migration. We present two cases from our institution where a uniquely designed, lumen-apposing metal stent (LAMS) was successfully used to alleviate benign GOO without stent migration.
当前指南推荐采用系列扩张术治疗良性胃出口梗阻(GOO)。自膨式金属支架是有效的,但它们的使用因高迁移率而变得复杂。我们展示了我们机构的两例病例,其中一种独特设计的管腔贴附金属支架(LAMS)成功用于缓解良性GOO且无支架迁移。