Krömer M U, Maier M, Kohler B, Riemann J F
Medizinische Klinik C, Klinikum der Stadt Ludwigshafen.
Leber Magen Darm. 1995 Jul;25(4):176-9.
We report on a 70 year old patient with a great relapse in the region of the anastomosis after a palliative, subtotal gastrectomy with Billroth-II-gastrojejunostomie because of an adenocarcinoma one year before. He was unable to swallow fluids or solid food. The possibility of a sufficient gastroenteroanastomosis was certainly limited (great tumor-mass left during operation). So we implantated two metal stents in the afferent and the efferent limb, respectively. The patient's vomiting completely relieved and he was able to swallow fluid food again. After that treatment the patient's quality of live noticeably increased. Furthermore, by stenting the afferent limb a sufficient drainage out of the duodenum could be reached, thereby preventing an increasing cholestasis.
我们报告了一名70岁的患者，该患者在一年前因腺癌接受了姑息性次全胃切除及毕罗Ⅱ式胃空肠吻合术，术后吻合口区域出现严重复发。他无法吞咽液体或固体食物。进行充分胃肠吻合的可能性确实有限（手术中残留大量肿瘤组织）。因此，我们分别在输入袢和输出袢植入了两个金属支架。患者的呕吐完全缓解，并且他又能够吞咽流食了。经过该治疗后，患者的生活质量显著提高。此外，通过在输入袢置入支架，可以实现十二指肠的充分引流，从而防止胆汁淤积加重。
