Bethge N, Breitkreutz C, Vakil N
Krankenhaus Neukölln Berlin, Germany.
Am J Gastroenterol. 1998 Apr;93(4):643-5. doi: 10.1111/j.1572-0241.1998.182_b.x.
We sought to determine the efficacy of metal stents in the palliation of malignant upper gastrointestinal stenoses. Six patients with inoperable malignant obstruction of the upper gastrointestinal tract, intractable nausea and vomiting, and an inability to maintain an oral intake were studied. A metal stent was inserted under endoscopic control and deployed in the stenosis. Stents were successfully deployed in all patients, and there were no immediate complications. All patients were able to eat after the procedure and parenteral nutrition was discontinued in all. Mean survival was 23 +/- 8.6 days. We conclude that metal stents represent a promising approach to the management of selected patients with malignant upper gastrointestinal stenoses and that their use warrants further study.
我们试图确定金属支架在缓解恶性上消化道狭窄方面的疗效。研究了6例患有不可手术的上消化道恶性梗阻、顽固性恶心和呕吐且无法经口进食的患者。在内镜控制下插入金属支架并将其放置在狭窄部位。所有患者均成功置入支架，且无即刻并发症。所有患者术后均能进食，全部停用了肠外营养。平均生存期为23±8.6天。我们得出结论，金属支架是治疗部分恶性上消化道狭窄患者的一种有前景的方法，其应用值得进一步研究。
