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经皮经肝自膨式金属支架置入术治疗恶性输入袢梗阻

Percutaneous Transhepatic Self-expanding Metallic Stent Placement for the Treatment of Malignant Afferent Loop Obstruction.

作者信息

Jinno Naruomi, Naitoh Itaru, Nagura Yoshihito, Fujioka Kazutoshi, Mizuno Yusuke, Momose Junko, Ooyama Makoto, Hayashi Kazuki, Miyaki Tomokatsu, Nakamura Makoto, Joh Takashi

机构信息

Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan.

Department of Gastroenterology, Toyokawa Municipal Hospital, Japan.

出版信息

Intern Med. 2018 Feb 1;57(3):333-337. doi: 10.2169/internalmedicine.9382-17. Epub 2017 Nov 1.

DOI:10.2169/internalmedicine.9382-17
PMID:29093418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5827311/
Abstract

We report the case of a 71-year-old man with afferent loop obstruction (ALO) after Roux-en-Y reconstruction due to gastric cancer. Computed tomography showed a distended afferent loop and a dilatated bile duct. We could not reach the stricture site in the afferent loop using a gastroscope. We performed percutaneous transhepatic biliary drainage (PTBD) and placed a self-expanding metallic stent (SEMS) in the duodenal stricture through the PTBD route. Although an endoscopic approach is preferable, when PTBD can be performed, percutaneous transhepatic SEMS placement might be an alternative option for treating ALO in cases in which it is not possible to reach the site of stenosis with an endoscope.

摘要

我们报告了一例71岁男性患者，因胃癌接受Roux-en-Y重建术后发生输入袢梗阻（ALO）。计算机断层扫描显示输入袢扩张和胆管扩张。我们无法使用胃镜到达输入袢的狭窄部位。我们进行了经皮经肝胆道引流（PTBD），并通过PTBD途径在十二指肠狭窄处放置了自膨式金属支架（SEMS）。尽管内镜治疗是首选方法，但在能够进行PTBD的情况下，对于无法通过内镜到达狭窄部位的ALO病例，经皮经肝放置SEMS可能是一种替代治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ade/5827311/9c345b473ea7/1349-7235-57-0333-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ade/5827311/f8387a7a3694/1349-7235-57-0333-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ade/5827311/c914a7e020e9/1349-7235-57-0333-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ade/5827311/96e115b34e6b/1349-7235-57-0333-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ade/5827311/9c345b473ea7/1349-7235-57-0333-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ade/5827311/f8387a7a3694/1349-7235-57-0333-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ade/5827311/c914a7e020e9/1349-7235-57-0333-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ade/5827311/96e115b34e6b/1349-7235-57-0333-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ade/5827311/9c345b473ea7/1349-7235-57-0333-g004.jpg

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