Fluoroscopically guided placement of a covered self-expandable metallic stent for malignant antroduodenal obstructions: Preliminary results in 18 patients

被引:40
作者
Jeong, JY
Han, JK [1 ]
Kim, AY
Lee, KH
Lee, JY
Kang, JW
Kim, TJ
Shin, SH
Choi, BI
机构
[1] Seoul Natl Univ, Coll Med, Clin Res Inst, Inst Radiat Med Seoul Natl Univ Hosp, Seoul 110744, South Korea
[2] Seoul Natl Univ, Coll Med, Dept Radiol, Chongno Gu, Seoul 110744, South Korea
关键词
D O I
10.2214/ajr.178.4.1780847
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. The purpose of this study was to investigate the technical feasibility and the clinical effectiveness of fluoroscopically guided placement of covered self-expandable metallic stents in the treatment of malignant antroduodenal obstructions. SUBJECTS AND METHODS. With fluoroscopic guidance, covered self-expandable metallic stents were placed in 18 consecutive patients with inoperable malignant antroduodenal obstructions. All patients were treated for severe nausea and recurrent vomiting. RESULTS. Stent placement was technically successful in all patients with or without gastrostomy (n = 2) and balloon dilatation (n = 3). After stent placement, symptoms improved in all but one patient, who had another stenosis in the proximal jejunum. D ring the follow-up of 2-73 weeks (mean, 12 weeks), stent migration occurred in three patients (16.7%) from 1 to 41 days after the procedure. These patients were treated successfully by means of placing a second covered metallic stent. Two patients. who were followed up for longer than 30 weeks, showed a recurrence of strictures because of mechanical failure of the stents one of the patients was treated with coaxial placement of a second covered metallic stent, which had a positive clinical outcome. CONCLUSION. Fluoroscopically guided placement of covered self-expandable metallic stents is technically feasible and effective for the palliative treatment of inoperable malignant antroduodenal obstructions. The rate of stent migration in our study was lower than those in previous reports.
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页码:847 / 852
页数:6
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