Clinical Endoscopy

  • 제51권3호
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  • Pages.299-303
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  • 2018
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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DOI QR코드

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Metal Stent Placement in the Afferent Loop Obstructed by Peritoneal Metastases-Experience of Five Cases

  • Kanno, Yoshihide (Department of Gastroenterology, Sendai City Medical Center) ;
  • Ohira, Tetsuya (Department of Gastroenterology, Sendai City Medical Center) ;
  • Harada, Yoshihiro (Department of Gastroenterology, Sendai City Medical Center) ;
  • Koike, Yoshiki (Department of Gastroenterology, Sendai City Medical Center) ;
  • Yamagata, Taku (Department of Gastroenterology, Sendai City Medical Center) ;
  • Tanaka, Megumi (Department of Gastroenterology, Sendai City Medical Center) ;
  • Shimada, Tomohiro (Department of Gastroenterology, Sendai City Medical Center) ;
  • Ito, Kei (Department of Gastroenterology, Sendai City Medical Center)
  • 투고 : 2017.12.05
  • 심사 : 2018.01.23
  • 발행 : 2018.05.30
⟨ 이전 논문 다음 논문 ⟩

초록

Afferent loop syndrome is often difficult to resolve. Among patients with afferent loop syndrome whose data were extracted from databases, 5 patients in whom metal stent placement was attempted were included and evaluated in this study. The procedure was technically successful without any adverse events in all patients. Metal stent(s) was placed with an endoscope in the through-the-scope manner in 4 patients and via a percutaneous route in 1 patient. Obvious clinical efficacy was observed in all patients. Adverse events related to the procedure and stent occlusion during the follow-up period were not observed. Metal stent placement for malignant obstruction of the afferent loop was found to be safe and feasible.

키워드

참고문헌

  1. Pannala R, Brandabur JJ, Gan SI, et al. Afferent limb syndrome and delayed GI problems after pancreaticoduodenectomy for pancreatic cancer: single-center, 14-year experience. Gastrointest Endosc 2011;74:295-302. https://doi.org/10.1016/j.gie.2011.04.029
  2. Huang J, Hao S, Yang F, et al. Endoscopic metal enteral stent placement for malignant afferent loop syndrome after pancreaticoduodenectomy. Wideochir Inne Tech Maloinwazyjne 2015;10:257-265.
  3. Kim JK, Park CH, Huh JH, et al. Endoscopic management of afferent loop syndrome after a pylorus preserving pancreatoduodenecotomy presenting with obstructive jaundice and ascending cholangitis. Clin Endosc 2011;44:59-64. https://doi.org/10.5946/ce.2011.44.1.59
  4. Ross AS, Semrad C, Waxman I, Dye C. Enteral stent placement by double balloon enteroscopy for palliation of malignant small bowel obstruction. Gastrointest Endosc 2006;64:835-837. https://doi.org/10.1016/j.gie.2006.03.001
  5. Hayashi Y, Yamamoto H, Kita H, et al. Education and imaging. Gastrointestinal: metallic stent for an obstructing jejunal cancer. J Gastroenterol Hepatol 2006;21:1861. https://doi.org/10.1111/j.1440-1746.2006.04788.x
  6. Kida A, Matsuda K, Noda Y. Endoscopic metallic stenting by double-balloon enteroscopy and its overtube for malignant gastrointestinal obstruction as palliative treatment. Dig Endosc 2013;25:552-553. https://doi.org/10.1111/den.12136
  7. Nakahara K, Okuse C, Matsumoto N, et al. Enteral metallic stenting by balloon enteroscopy for obstruction of surgically reconstructed intestine. World J Gastroenterol 2015;21:7589-7593. https://doi.org/10.3748/wjg.v21.i24.7589
  8. Popa D, Ramesh J, Peter S, Wilcox CM, Monkemuller K. Small bowel stent-in-stent placement for malignant small bowel obstruction using a balloon-assisted overtube technique. Clin Endosc 2014;47:108-111. https://doi.org/10.5946/ce.2014.47.1.108
  9. Chok AY, Koh YX, Lee J, Wong AS. Secondary stent-in-stent self-expanding metallic stent placement for early stent occlusion due to mucosal oedema in the gastrojejunal anastomosis after palliative subtotal gastrectomy for locally advanced gastric cancer. Singapore Med J 2013;54:e240-e243. https://doi.org/10.11622/smedj.2013249

피인용 문헌

  1. Enteral self-expandable metal stent placement for malignant afferent limb syndrome using single-balloon enteroscope: report of five cases vol.6, pp.11, 2018, https://doi.org/10.1055/a-0739-7640
  2. Endoscopic nasogastric tube insertion for treatment of benign afferent loop obstruction after radical gastrectomy for gastric cancer : A 16-year retrospective single-center study vol.98, pp.28, 2018, https://doi.org/10.1097/md.0000000000016475
  3. Usefulness of endoscopic metal stent placement for malignant afferent loop obstruction vol.34, pp.5, 2020, https://doi.org/10.1007/s00464-019-06991-9
  4. Endoscopic Self-Expandable Metal Stent Placement for Malignant Afferent Loop Obstruction After Pancreaticoduodenectomy: A Case Series and Review vol.53, pp.4, 2020, https://doi.org/10.5946/ce.2019.145
  5. Clinical management for malignant afferent loop obstruction vol.13, pp.7, 2018, https://doi.org/10.4251/wjgo.v13.i7.509
  6. Endoscopic Ultrasound-Guided Gastroenterostomy for Afferent Loop Syndrome vol.54, pp.6, 2018, https://doi.org/10.5946/ce.2021.234