Covered stent placement in patients with recurrent cancer after a Billroth I reconstruction

被引：7

作者：

Yang, Zheng Qiang ^{[1
,2
,5
]}

Song, Ho-Young ^{[1
,2
]}

Kim, Jin Hyoung ^{[1
,2
]}

Shin, Ji Hoon ^{[1
,2
]}

Kim, Tae Won ^{[3
]}

Yook, Jeong Hwan ^{[4
]}

Kim, Byung Sik ^{[4
]}

机构：

[1] Univ Ulsan, Coll Med, Dept Radiol, Asan Med Ctr,, Seoul, South Korea

[2] Univ Ulsan, Coll Med, Asan Med Ctr, Res Inst Radiol, Seoul, South Korea

[3] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Internal Med, Seoul, South Korea

[4] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Surg, Seoul, South Korea

[5] Nanjing Med Univ, Affiliated Hosp 1, Dept Radiol, Nanjing, Peoples R China

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2007年 / 18卷 / 12期

关键词：

D O I：

10.1016/j.jvir.2007.07.025

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：

PURPOSE: To assess the technical feasibility and clinical effectiveness of covered stent placement in patients with recurrent malignant obstructions after Billroth I reconstruction. MATERIALS AND METHODS: From June 1997 to November 2005,16 patients underwent covered stent placement for recurrent gastric cancer after Billroth I reconstruction. A total of 19 covered stents were used, including 14 dual stents and five fully covered stents, as available. RESULTS: Stent placement was technically successful in all patients, with 13 of 16 patients (81%) showing improvement of symptoms. Stent migration occurred in one patient, tumor ingrowth in one, and stent collapse and/or bowel perforation in one. Nine patients (56%) had concomitant (n = 7) or subsequent (n = 2) biliary obstruction. One patient was lost to follow-up. The remaining 15 patients died 5-628 days (median, 52 days; mean, 120 days) after stent placement due to progression of disease or pneumonia. CONCLUSIONS: Placement of covered metallic stents is feasible and effective in patients with recurrent malignant obstruction after Billroth I reconstruction.

引用

页码：1533 / 1537

页数：5

共 23 条

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