Storm Andrew C, Mahmoud Tala, Akiki Karl, Law Ryan J
Mayo Clinic, Rochester, MN.
ACG Case Rep J. 2022 Oct 6;9(10):e00868. doi: 10.14309/crj.0000000000000868. eCollection 2022 Oct.
A 19-year-old man diagnosed with diffuse large B-cell lymphoma undergoing chemotherapy presented for recurrent emesis and weight loss. Imaging studies of the abdomen demonstrated features of superior mesenteric artery syndrome. The patient deferred conservative treatment options and was deemed not to be a surgical candidate. Endoscopic ultrasound-guided gastroenterostomy using a lumen-apposing metal stent was performed to bypass the obstruction. Subsequently, the patient's oral intake and weight significantly improved. The stent was removed 6 months after placement with resolution of superior mesenteric artery syndrome symptoms.
一名19岁被诊断为弥漫性大B细胞淋巴瘤且正在接受化疗的男性患者，因反复呕吐和体重减轻前来就诊。腹部影像学检查显示有肠系膜上动脉综合征的特征。患者推迟了保守治疗方案，且被认为不适合手术。于是采用腔内贴壁金属支架进行内镜超声引导下胃肠造口术以绕过梗阻部位。随后，患者的经口摄入量和体重显著改善。支架在放置6个月后取出，肠系膜上动脉综合征症状得到缓解。
