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对于恶性胃出口阻塞的内镜支架的技术成功

D Tait¹, M F Scriba², C Robinson¹

¹Department of Surgery, Groote Schuur Hospital, University of Cape Town, South Africa.

South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie

|March 7, 2024

概括

自扩张的金属支架 (SEMS) 在恶性胃出口阻塞 (GOO) 中具有很高的成功率. 这项研究证实了息性支架的卓越技术成功,与国际标准相提并论.

科学领域:

胃肠病学胃肠病学
干预性内镜检查是干预性的内镜检查.
手术瘤学手术瘤学

背景情况:

恶性胃输出阻塞 (GOO) 缓解越来越多地使用自扩张金属支架 (SEMS) 进行管理.
在GOO缓解中,SEMS的技术成功率很高.
这项研究旨在审查和比较当地GOO支架结果与国际数据.

研究的目的:

评估用于恶性GOO的pyloroduodenal支架的技术成功率和并发症率.
将结果与其他国际系列进行比较.
评估恶性GOO的息性支架的可行性和可获得性.

主要方法:

对从2018年3月至2021年8月为恶性GOO进行pyloroduodenal stenting的患者的回顾性审查.
评估患者人口统计,技术成功,病理和与支架相关的并发症.
对初级和救援支架程序的分析.

主要成果:

包括114名患者;胃恶性瘤是最常见的病理 (74.6%).
技术成功率为97.4%,使用了132个支架插入.
3.1%的患者出现了即时并发症,15例延迟并发症,主要是瘤生长 (13例).
挽救支架在14个重新支架病例中成功率为100%.

结论:

在恶性GOO中进行初级和救援十二指肠支架的技术成功率与大量的国际中心相美.
胃腺癌是主要的病理.
息式支架仍然是恶性GOO的可行和可访问的治疗选择.

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