金属支架治疗回盲部梗阻性结肠癌的有效性及安全性：附4例报告
Effectiveness and safety of metallic stent for ileocecal obstructive colon cancer: a report of 4 cases.
作者信息
Ishii Tatsuya, Minaga Kosuke, Ogawa Satoshi, Ikenouchi Maiko, Yoshikawa Tomoe, Akamatsu Takuji, Seta Takeshi, Urai Shunji, Uenoyama Yoshito, Yamashita Yukitaka
机构信息
Department of Gastroenterology and Hepatology, Japanese Red Cross Society Wakayama Medical Center, Wakayama, Japan.
Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan.
出版信息
Endosc Int Open. 2017 Sep;5(9):E834-E838. doi: 10.1055/s-0043-113560. Epub 2017 Sep 12.
Self-expandable metallic stents (SEMS) have been widely used for left-sided colorectal obstruction. Few studies on SEMS placement for right-sided colonic obstructions have been reported because stenting in the right colon is technically difficult, particularly in the ileocecal region. We present 4 cases of successful bridge-to-surgery stenting for ileocecal cancer. Using an endoscopic retrograde cholangiopancreatography catheter with a movable tip and a decompression tube was effective for stenting. No adverse events occurred during or after SEMS placement in any of these cases. Short-term stenting for ileocecal cancer seems to be effective and safe.
自膨式金属支架（SEMS）已广泛应用于左侧结肠梗阻。由于在右半结肠放置支架技术上较为困难，尤其是在回盲部，因此关于SEMS用于右侧结肠梗阻的研究报道较少。我们报告4例回盲部癌桥接手术支架置入成功的病例。使用带有可移动尖端的内镜逆行胰胆管造影导管和减压管进行支架置入有效。在这些病例中，任何一例在SEMS置入期间或之后均未发生不良事件。回盲部癌的短期支架置入似乎有效且安全。
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