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超声内镜引导下肠造口术用于缓解盲肠腺癌所致恶性小肠梗阻

EUS Guided Enterocolostomy for the Palliation of Malignant Small Bowel Obstruction From a Cecal Adenocarcinoma.

作者信息

Rodgers Brandon, Mathew Abraham, Razjouyan Hadie

机构信息

Division of Gastroenterology and Hepatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.

出版信息

Gastro Hep Adv. 2024 Oct 22;4(3):100576. doi: 10.1016/j.gastha.2024.10.016. eCollection 2025.

DOI:10.1016/j.gastha.2024.10.016
PMID:39897112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11786829/
Abstract

Malignant bowel obstruction is a challenging complication in advanced gastrointestinal malignancies with varying treatment strategies including medical, surgical and endoscopic therapies, each with their own limitations. Endoscopic ultrasound-guided enterocolostomy has been previously reported as an option for patients who are not surgical candidates or ideal candidates for enteral stenting. In this case, endoscopic ultrasound-guided enterocolostomy is used for the palliation in a patient with a completely obstructing large cecal adenocarcinoma who declined surgical intervention.

摘要

恶性肠梗阻是晚期胃肠道恶性肿瘤中具有挑战性的并发症，有多种治疗策略，包括药物、手术和内镜治疗，每种治疗都有其局限性。内镜超声引导下肠造口术此前已被报道可作为不适宜手术或不是肠内支架置入理想候选者的患者的一种选择。在此病例中，内镜超声引导下肠造口术用于一名拒绝手术干预的完全梗阻性盲肠腺癌患者的姑息治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/e2b9070fc7d0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/382ab1a6e054/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/c4db8c24bf51/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/5e7c3f8b2a51/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/df32034d7053/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/699b308eb2b2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/e2b9070fc7d0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/382ab1a6e054/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/c4db8c24bf51/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/5e7c3f8b2a51/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/df32034d7053/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/699b308eb2b2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db7/11786829/e2b9070fc7d0/gr6.jpg

相似文献

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EUS Guided Enterocolostomy for the Palliation of Malignant Small Bowel Obstruction From a Cecal Adenocarcinoma.超声内镜引导下肠造口术用于缓解盲肠腺癌所致恶性小肠梗阻
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本文引用的文献

1
Palliative Management of Inoperable Malignant Bowel Obstruction: Prospective, Open Label, Phase 2 Study at an NCI Comprehensive Cancer Center.不可手术恶性肠梗阻的姑息治疗：NCI 综合癌症中心的前瞻性、开放标签、2 期研究。
J Pain Symptom Manage. 2024 Jan;67(1):20-26. doi: 10.1016/j.jpainsymman.2023.09.014. Epub 2023 Sep 27.
2
EUS-guided enterocolostomy with lumen-apposing metal stent for palliation of malignant small-bowel obstruction (with video).超声内镜引导下置入全覆膜可取出金属支架行小肠造口术治疗恶性小肠梗阻（附视频）
Gastrointest Endosc. 2023 May;97(5):927-933. doi: 10.1016/j.gie.2022.12.016. Epub 2022 Dec 23.
3
Endoscopic ultrasound-guided ileosigmoidostomy using a lumen-apposing metal stent for palliation of malignant small-bowel obstruction.
使用管腔贴附金属支架的内镜超声引导下回肠乙状结肠造口术用于缓解恶性小肠梗阻
VideoGIE. 2022 Feb 2;7(3):109-111. doi: 10.1016/j.vgie.2021.12.007. eCollection 2022 Mar.
4
EUS-guided ileocolonic anastomosis for relief of complete small-bowel obstruction.超声内镜引导下回结肠吻合术用于缓解完全性小肠梗阻
VideoGIE. 2020 Jun 26;5(9):428-430. doi: 10.1016/j.vgie.2020.05.004. eCollection 2020 Sep.
5
Interventional Endoscopic Ultrasound: Current Status and Future Directions.介入性内镜超声：现状与未来方向。
Clin Gastroenterol Hepatol. 2021 Jan;19(1):24-40. doi: 10.1016/j.cgh.2020.09.029. Epub 2020 Sep 18.
6
EUS-guided enterocolostomy for palliation of malignant distal small-bowel obstruction.超声内镜引导下肠造口术用于缓解恶性远端小肠梗阻
VideoGIE. 2019 Aug 30;4(11):530-531. doi: 10.1016/j.vgie.2019.07.015. eCollection 2019 Nov.