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首页> 美国卫生研究院文献>Case Reports in Oncology >WallFlex™ Duodenal Stent Placement in a Gastric Cancer Patient with Malignant Stenosis of a Roux-en-Y Gastrojejunostomy following Distal Gastrectomy
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WallFlex™ Duodenal Stent Placement in a Gastric Cancer Patient with Malignant Stenosis of a Roux-en-Y Gastrojejunostomy following Distal Gastrectomy

机译：WallFlex™十二指肠支架置入在远端胃切除术后Roux-en-Y胃肠空肠吻合术恶性狭窄的胃癌患者中的应用

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A 69-year-old Japanese woman with a history of distal gastrectomy with a Roux-en-Y reconstruction for advanced gastric cancer was admitted to our hospital complaining of severe dysphagia. On admission, the patient was only able to take liquids, and a firm, fist-sized tumor was palpable in her left upper abdomen. An endoscopic examination disclosed stenosis of the jejunal limb of the gastrojejunostomy. Abdominal computed tomography revealed that a recurrent tumor, 5.0 cm in diameter, was compressing the jejunal limb of the gastrojejunostomy. A knitted nitinol self-expandable metallic stent (WallFlex™ duodenal stent) was placed endoscopically at the stenotic jejunum from the gastrojejunostomy. The time required for stenting and total endoscopic manipulation was 12 and 35 minutes, respectively. No stent-related complications were observed. The patient could resume oral ingestion 1 day after endoscopic stenting and was discharged on the fifth day after treatment. She survived for 201 days after stenting. She continued oral ingestion for 194 days and stayed at home for 165 days. The WallFlex duodenal stent allows safe endoscopic stenting, even in cases of malignant stenosis of a gastrojejunostomy following distal gastrectomy. This stenting device will extend the indications for endoscopic palliation of gastric cancer patients with gastric outlet stenosis.
机译：一名69岁的日本妇女因晚期胃癌而进行了远端胃切除术并进行了Roux-en-Y重建以治疗晚期胃癌，她因严重吞咽困难而入院。入院时，患者只能服用液体，左上腹部可触及一个坚固的拳头大小的肿瘤。内窥镜检查发现胃空肠吻合术的空肠分支狭窄。腹部计算机断层扫描显示，直径5.0厘米的复发性肿瘤正在压迫胃空肠吻合术的空肠分支。将编织的镍钛诺自膨胀金属支架（WallFlex™十二指肠支架）在内窥镜下从胃空肠造口处置入狭窄的空肠。支架置入和总内镜操作所需的时间分别为12分钟和35分钟。没有观察到支架相关的并发症。内镜支架置入术后1天即可恢复口服，治疗后第五天即可出院。支架置入后她存活了201天。她继续口服194天，在家里呆了165天。即使在远端胃切除术后胃空肠吻合口恶性狭窄的情况下，WallFlex十二指肠支架也可以安全地进行内窥镜支架置入。该支架置入装置将扩大对胃出口狭窄的胃癌患者的内镜缓解的适应症。

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