关键词: bowel obstruction fracture gastric outlet obstruction metal stent migration

Mesh : Humans Gastric Outlet Obstruction / etiology surgery Intestinal Obstruction / etiology surgery Stents / adverse effects Male Foreign-Body Migration / etiology surgery diagnostic imaging complications Aged Intestine, Small / diagnostic imaging surgery Female Middle Aged Prosthesis Failure / adverse effects Stomach Neoplasms / complications surgery

来  源:   DOI:10.2169/internalmedicine.2058-23   PDF(Pubmed)

Abstract:
Gastroduodenal stenting (GDS) is a less invasive alternative to gastrojejunostomy for the management of malignant gastric outlet obstruction (mGOO). GDS is a minimally invasive treatment with good technical and clinical success, and severe complications that require surgical intervention are rare. Stent fracture is an uncommon complication associated with GDS; however, migration of the fractured distal segment can result in small bowel obstruction. Adverse effects of stent fractures in patients with mGOO have rarely been reported. We herein report two surgical cases of small bowel obstruction caused by the migration of fractured metal stent in patients with mGOO.
摘要:
胃十二指肠支架置入术(GDS)是胃空肠吻合术的一种侵入性较小的替代方法,用于治疗恶性胃出口梗阻(mGOO)。GDS是一种技术和临床成功的微创治疗方法,需要手术干预的严重并发症很少见。支架骨折是与GDS相关的罕见并发症;然而,远端骨折的迁移可导致小肠梗阻。支架骨折对mGOO患者的不良反应很少报道。我们在此报告了两例由mGOO患者的金属支架断裂迁移引起的小肠梗阻的手术病例。
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