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首页> 外文期刊>Surgical Endoscopy >Prospective randomized trial of laparoscopic gastrojejunostomy versus duodenal stenting for malignant gastric outflow obstruction.
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Prospective randomized trial of laparoscopic gastrojejunostomy versus duodenal stenting for malignant gastric outflow obstruction.

机译：腹腔镜胃空肠吻合术与十二指肠支架术治疗恶性胃流出道梗阻的前瞻性随机试验。

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BACKGROUND: We prospectively compared laparoscopic gastrojejunostomy with duodenal stenting as a means of palliating malignant gastric outflow obstruction. METHODS: A total of 27 patients with malignant gastric outflow obstruction were randomized to either laparoscopic gastrojejunostomy (LGJ) or duodenal stenting (DS) over a 3-year period. RESULTS: Thirteen patients underwent successful LGJ and 10 had successful DS. Eight patients had complications after LGJ, but none had complications after DS. Patients who underwent LGJ had a significant increase in visual analog pain score at day 1 (p = 0.05), and also had a longer hospital stay compared to those who underwent DS (11.4 vs. 5.2 days, p = 0.02). After DS, patients experienced an improvement in physical health at 1 month as measured using the Short Form-36 (SF-36) questionnaire (p < 0.01). There was no change following LGJ. CONCLUSION: Duodenal stenting is a safe means of palliating malignant gastric outflow obstruction. It offers significant advantages for patients compared with minimal-access surgery.
机译：背景：我们前瞻性比较了十二指肠支架置入腹腔镜胃空肠吻合术作为缓解恶性胃流出道梗阻的一种方法。方法：总共27例恶性胃流出道梗阻患者，在3年期间被随机分为腹腔镜胃空肠吻合术（LGJ）或十二指肠支架置入术（DS）。结果：13例患者成功完成LGJ，10例DS成功。 LGJ术后有8例并发症，但DS术后无并发症。与接受DS的患者相比，接受LGJ的患者在第1天的视觉模拟疼痛评分显着增加（p = 0.05），并且住院时间也更长（11.4 vs. 5.2天，p = 0.02）。 DS后，患者使用Short Form-36（SF-36）问卷进行测量，在1个月时身体健康得到改善（p <0.01）。 LGJ之后没有变化。结论：十二指肠支架置入术是缓解恶性胃流出道梗阻的一种安全方法。与最少手术相比，它为患者提供了明显的优势。

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