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内镜超声引导下胃造瘘术治疗恶性胃出口梗阻：一种姑息性手术旁路的微创替代方法

Endoscopic Ultrasound-Guided Gastroenterostomy for Malignant Gastric Outlet Obstruction: A Minimally Invasive Alternative to Palliative Surgical Bypass.

作者信息

Kalsi Harsimran, Jue Terry L

机构信息

Internal Medicine, UCF-HCA Florida North Florida Hospital, Gainesville, USA.

Gastroenterology, Mayo Clinic, Phoenix, USA.

出版信息

Cureus. 2024 Apr 26;16(4):e59084. doi: 10.7759/cureus.59084. eCollection 2024 Apr.

DOI:10.7759/cureus.59084
PMID:38803783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11128328/
Abstract

Gastric outlet obstruction is a mechanical obstruction to the flow of gastric contents to the intestines. The most common causes of malignant gastric outlet obstruction (MGOO) are pancreatic and gastric cancers. MGOO is associated with reduced quality of life and poor prognosis due to malnourishment from the inability to tolerate oral intake. Surgical gastrojejunostomy and endoscopic placement of enteral stents are palliative options with different advantages and disadvantages. We present a case of MGOO treated with endoscopic ultrasound-guided gastroenterostomy, a minimally invasive alternative to palliative surgical bypass.

摘要

胃出口梗阻是胃内容物向肠道流动的机械性梗阻。恶性胃出口梗阻（MGOO）最常见的原因是胰腺癌和胃癌。由于无法耐受经口摄入导致营养不良，MGOO与生活质量下降和预后不良相关。外科胃空肠吻合术和内镜下放置肠内支架是具有不同优缺点的姑息治疗选择。我们报告一例采用内镜超声引导下胃肠造口术治疗的MGOO病例，这是一种微创的姑息性手术旁路替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab5/11128328/ce723701bb8e/cureus-0016-00000059084-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab5/11128328/2cc20a74c0be/cureus-0016-00000059084-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab5/11128328/02098c352d0c/cureus-0016-00000059084-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab5/11128328/ce723701bb8e/cureus-0016-00000059084-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab5/11128328/2cc20a74c0be/cureus-0016-00000059084-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab5/11128328/02098c352d0c/cureus-0016-00000059084-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab5/11128328/ce723701bb8e/cureus-0016-00000059084-i03.jpg

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本文引用的文献

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EUS-guided gastroenterostomy versus surgical gastroenterostomy for the management of gastric outlet obstruction: a systematic review and meta-analysis.内镜超声引导下胃造口术与手术胃造口术治疗胃出口梗阻的系统评价和荟萃分析
Endosc Int Open. 2022 Apr 14;10(4):E448-E458. doi: 10.1055/a-1765-4035. eCollection 2022 Apr.
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EUS-guided gastroenterostomy versus duodenal stent placement and surgical gastrojejunostomy for the palliation of malignant gastric outlet obstruction: a systematic review and meta-analysis.EUS 引导下胃-肠吻合术与十二指肠支架置入术和外科胃空肠吻合术治疗恶性胃出口梗阻的姑息治疗：系统评价和荟萃分析。
Langenbecks Arch Surg. 2021 Sep;406(6):1803-1817. doi: 10.1007/s00423-021-02215-8. Epub 2021 Jun 14.
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Laparoscopic versus EUS-guided gastroenterostomy for gastric outlet obstruction: an international multicenter propensity score-matched comparison (with video).
腹腔镜与超声内镜引导下胃肠吻合术治疗胃出口梗阻：一项国际多中心倾向评分匹配比较（附视频）。
Gastrointest Endosc. 2021 Sep;94(3):526-536.e2. doi: 10.1016/j.gie.2021.04.006. Epub 2021 Apr 20.
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EUS-guided gastroenterostomy versus enteral stenting for gastric outlet obstruction: Systematic review and meta-analysis.内镜超声引导下胃造口术与肠内支架置入术治疗胃出口梗阻：系统评价与荟萃分析
Endosc Int Open. 2021 Mar;9(3):E496-E504. doi: 10.1055/a-1341-0788. Epub 2021 Feb 22.
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Endoscopic ultrasound-guided gastroenterostomy versus open surgical gastrojejunostomy: clinical outcomes and cost effectiveness analysis.内镜超声引导下胃造口术与开放手术胃空肠吻合术：临床结果与成本效益分析
Surg Endosc. 2021 Dec;35(12):7058-7067. doi: 10.1007/s00464-020-08221-z. Epub 2021 Jan 21.
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Malignant gastric outlet obstruction: Which is the best therapeutic option?恶性胃出口梗阻：哪种治疗方法最佳？
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Endoscopic management of gastric outlet obstruction disease.胃出口梗阻疾病的内镜治疗
Ann Gastroenterol. 2019 Jul-Aug;32(4):330-337. doi: 10.20524/aog.2019.0390. Epub 2019 May 30.
8
Stent placement versus surgical palliation for adults with malignant gastric outlet obstruction.成人恶性胃出口梗阻患者的支架置入术与手术姑息治疗对比
Cochrane Database Syst Rev. 2018 May 30;5(5):CD012506. doi: 10.1002/14651858.CD012506.pub2.
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Endosc Int Open. 2016 Mar;4(3):E276-81. doi: 10.1055/s-0042-101789.
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