[9例内镜下胃十二指肠支架置入术治疗胃十二指肠恶性梗阻的经验]
[Experience of Nine Cases of Endoscopic Gastroduodenal Stenting for Malignant Gastroduodenal Obstruction].
作者信息
Kitamura Fumimasa, Doi Koichi, Ishiodori Hiroyuki, Ochi Tetsufumi, Baba Hideo
机构信息
Dept. of Gastroenterological Surgery, Miyazaki Prefectural Nobeoka Hospital.
出版信息
Gan To Kagaku Ryoho. 2018 Apr;45(4):737-739.
BACKGROUND
We reported our results of endoscopic gastroduodenal stenting for malignant gastroduodenal obstruction.
METHODS
This retrospective study investigated cases of malignant gastric and duodenal obstruction treated with gastroduodenal stenting between April 2014 and December 2016.
RESULTS
The mean operative time was 34 minutes. The mean time to the first intake of solid food was 2.7 days, and the median time was 3 days. Complications were restenosis, vomiting, anemia, anorexia, and gastric pain. In 8 patients, the GOOSS score was improved. In 5 patients, the CONUT score was improved. In 6 patients, the albumin level was improved. The mean overall survival time was 130 days, and the median time was 112 days.
CONCLUSION
Our study suggested that gastroduodenal stenting for malignant gastroduodenal obstruction was minimally invasive and improved quality of life(QOL)in a short time.
背景
我们报告了内镜下胃十二指肠支架置入术治疗恶性胃十二指肠梗阻的结果。
方法
这项回顾性研究调查了2014年4月至2016年12月期间接受胃十二指肠支架置入术治疗的恶性胃和十二指肠梗阻病例。
结果
平均手术时间为34分钟。首次摄入固体食物的平均时间为2.7天，中位时间为3天。并发症包括再狭窄、呕吐、贫血、厌食和胃痛。8例患者的GOOSS评分得到改善。5例患者的CONUT评分得到改善。6例患者的白蛋白水平得到改善。平均总生存时间为130天，中位时间为112天。
结论
我们的研究表明，内镜下胃十二指肠支架置入术治疗恶性胃十二指肠梗阻具有微创性，并能在短时间内改善生活质量（QOL）。
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