Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine, Seoul 02841, South Korea.
Division of Upper GI Surgery, Department of Surgery, Korea University College of Medicine, Seoul 02841, South Korea.
World J Gastroenterol. 2018 Oct 28;24(40):4578-4585. doi: 10.3748/wjg.v24.i40.4578.
To investigate the efficacy and safety of endoscopic stent insertion in patients with delayed gastric emptying after gastrectomy.
In this study, we prospectively collected data from patients who underwent stent placement for delayed gastric emptying (DGE) after distal gastrectomy between June 2010 and April 2017, at a tertiary referral academic center. Clinical improvement, complications, and consequences after stent insertion were analyzed.
Technical success was achieved in all patients (100%). Early symptom improvement was observed in 15 of 20 patients (75%) and clinical success was achieved in all patients. Mean follow-up period was 1178.3 ± 844.1 d and median stent maintenance period was 51 d (range 6-2114 d). During the follow-up period, inserted stents were passed spontaneously per rectum without any complications in 14 of 20 patients (70%). Symptom improvement was maintained after stent placement without the requirement of any additional intervention in 19 of 20 patients (95%).
Endoscopic stent placement provides prompt relief of obstructive symptoms. Thus, it can be considered an effective and safe salvage technique for post-operative DGE.
研究内镜支架置入术治疗胃切除术后胃排空延迟的疗效和安全性。
本研究前瞻性收集了 2010 年 6 月至 2017 年 4 月期间在一家三级转诊学术中心因胃排空延迟（DGE）而行支架置入术的患者的数据。分析了支架置入后的临床改善、并发症和后果。
所有患者（100%）均获得技术成功。20 例患者中有 15 例（75%）早期症状改善，所有患者均获得临床成功。平均随访时间为 1178.3±844.1d，中位支架维持时间为 51d（范围 6-2114d）。在随访期间，20 例患者中有 14 例（70%）经直肠自行排出支架，无任何并发症。20 例患者中有 19 例（95%）在支架置入后症状得到改善，无需任何额外干预。
内镜支架置入术能迅速缓解梗阻症状，因此可被认为是治疗术后 DGE 的一种有效且安全的挽救性技术。
