[全胃切除术后复发性空肠狭窄经自膨式金属支架治疗1例]

[A Case of Recurrent Jejunal Stenosis after Total Gastrectomy Treated with Self-Expandable Metallic Stent].

作者信息

Yamaguchi Kentaro, Shimazaki Asako, Katsube Takao, Miyazawa Miki, Miyaki Akira, Usuda Atsuko, Murayama Minoru, Asaka Shinichi, Usui Takebumi, Yokomizo Hajime, Konno Souichi, Shiozawa Shunichi, Shimakawa Takeshi, Yoshimatsu Kazuhiko, Naritaka Yoshihiko

机构信息

Dept. of Surgery, Tokyo Women's Medical University Medical Center East.

出版信息

Gan To Kagaku Ryoho. 2017 Nov;44(12):1644-1646.

PMID:29394729

Abstract

Case is a 66-year-old male. He was inserted covered self expandable metallic stent(SEMS)for jejunal stenosis due to gastric cancer recurrence. Migration was occurred after 4 days from stent replacement. We had removed SEMS by endoscopy, and re-inserted non-covered SEMS. Two months later, stent stenosis was occurred by tumor ingrowth. We tried to insert another stent in the stenotic stent. The patient was able to maintain oral intake without complication for 3 months. SEMS placement would improve a quality of life for selected patients with recurrent jejunal stenosis.

摘要

病例为一名66岁男性。因胃癌复发导致空肠狭窄，为其植入了覆膜自膨式金属支架（SEMS）。支架置入后4天发生了移位。我们通过内镜取出了SEMS，并重新植入了无覆膜SEMS。两个月后，肿瘤长入导致支架狭窄。我们试图在狭窄的支架内再植入一枚支架。患者能够经口进食且无并发症，维持了3个月。对于部分复发性空肠狭窄患者，放置SEMS可改善生活质量。