Treatment of malignant gastric outlet obstruction with endoscopically placed self-expandable metal stents

查看全文 作　　者：Jill KJ [1]Gaidos;Peter V [1]Draganov

机构地区：[1]Department of Gastroenterology,Hepatology,and Nutrition,University of Florida

出　　处：《World Journal of Gastroenterology》索引2009年第15卷第35期,共7页

摘　　要：Malignant gastroduodenal obstruction can occur in up to 20%of patients with primary pancreatic,gastric or duodenal carcinomas.Presenting symptoms include nausea,vomiting,abdominal distention,pain and decreased oral intake which can lead to dehydration, malnutrition,and poor quality of life.Endoscopic stent placement has become the primary therapeutic modality because it is safe,minimally invasive,and a cost-effective option for palliation.Stents can be successfully deployed in the majority of patients. Stent placement appears to lead to a shorter time to symptomatic improvement,shorter time to resumption of an oral diet,and shorter hospital stays as compared with surgical options.Recurrence of the obstructive symptoms resulting from stent occlusion,due to tumor ingrowth or overgrowth,can be successfully treated with repeat endoscopic stent placement in the majority of the cases.Both endoscopic stenting and surgical bypass are considered palliative treatments and,to date,no improvement in survival with either modality has been demonstrated.A tailored therapeutic approach,taking into consideration patient preferences and involving a multidisciplinary team including the therapeutic endoscopist,surgeon,medical oncologist, radiation therapist,and interventional radiologist, should be considered in all cases. 关键词：放射治疗金属支架内镜恶性放置胃下支架十二指肠

相关文献

参考文献（38）
引证文献（12）
耦合文献（10）

参考文献(38)

引证文献(12)

耦合文献(10)

互联网出版许可证新出网证(渝)字10号全国400电话 - 免长途话费

Treatment of malignant gastric outlet obstruction with endoscopically placed self-expandable metal stents

参考文献(38)

引证文献(12)

耦合文献(10)

用户提示