Shen Zhaohua, Tian Li, Wang Xiaoyan
Department of Gastroenterology, Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Medicine (Baltimore). 2018 Jul;97(28):e11476. doi: 10.1097/MD.0000000000011476.
Ultrasonography-guided gastrojejunostomy (EUS-GJ) might be a safe, innovative and minimally invasive interventional treatment for patients with gastric outlet obstruction (GOO) as an alternative to the surgical approach. To date, few cases have been reported in the literature.
A case of pancreatic head carcinoma with obstructive jaundice occurred in a 78-year-old man with a prior history of pancreatic head cancer. Biliary stent placement was conducted 1 year earlier.
The patient was diagnosed with pancreatic cancer, pulmonary infection, pyloric obstruction, and biliary stent implantation.
EUS-GJ was performed. The wire and a double-balloon catheter reached the position of stenosis, then a double mushroom head bracket was released under EUS. The position was confirmed via X-ray.
The symptoms of obstruction were alleviated. No recurrence of obstruction, bleeding, perforation, and other complications occurred for the following 1.5 months while he died because of whole body spread of pancreatic cancer.
EUS-GJ may be reliable and effective for patients with GOO.
超声内镜引导下胃空肠吻合术（EUS-GJ）可能是一种安全、创新且微创的介入治疗方法，适用于胃出口梗阻（GOO）患者，可作为手术治疗的替代方案。迄今为止，文献报道的病例较少。
一名78岁男性，既往有胰头癌病史，现患胰头癌伴梗阻性黄疸。1年前已行胆道支架置入术。
患者被诊断为胰腺癌、肺部感染、幽门梗阻和胆道支架植入。
实施了EUS-GJ。导丝和双气囊导管到达狭窄部位，然后在超声内镜引导下释放双蘑菇头支架。通过X线确认位置。
梗阻症状得到缓解。在接下来的1.5个月里，未出现梗阻复发、出血、穿孔及其他并发症，但患者因胰腺癌全身转移死亡。
EUS-GJ对GOO患者可能是可靠且有效的。
