Feretis C, Benakis P, Dimopoulos C, Georgopoulos K, Manouras A, Apostolidis N
Dept. of Surgical Endoscopy, Hygeia Hospital, Athens, Greece.
Endoscopy. 1996 Mar;28(3):319-22. doi: 10.1055/s-2007-1005464.
When large-bowel obstruction supervenes in patients with rectal tumor recurrence and extensive nonresectable disease, a proximal diverting colostomy may be indicated. In this study, nonsurgical palliation of the obstruction was attempted by inserting self-expandable endoprostheses to bridge the stenotic lesion. The endoprostheses were positioned in two patients with large-bowel obstruction due to recurrent stenotic tumor, and extensive disease excluding palliative resection. Self-expandable endoprostheses with inner diameters of 18 mm and 22 mm were successfully inserted under endoscopic and radiographic control. Proper expansion of the endoprostheses was achieved in both patients, resulting in immediate decompression of the bowel and lasting relief of the obstruction.
当直肠癌复发且存在广泛不可切除疾病的患者出现大肠梗阻时，可能需要进行近端转流性结肠造口术。在本研究中，尝试通过插入可自膨胀内支架来跨越狭窄病变，对梗阻进行非手术姑息治疗。将内支架放置于2例因复发性狭窄肿瘤导致大肠梗阻且存在广泛疾病（排除姑息性切除术）的患者体内。在内镜和影像学控制下，成功插入了内径分别为18毫米和22毫米的可自膨胀内支架。两名患者的内支架均实现了适当扩张，肠道立即减压，梗阻得到持久缓解。
