Τίτλος:
Duodenal obstruction caused by pancreatic head carcinoma: palliation
with self-expandable endoprostheses
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: The risks of palliative operative intervention of gastric
outlet obstruction for advanced pancreatic head carcinoma has been
reported to be quite high. The present study reports the results of
attempted endoscopic palliation of duodenal obstruction in these
patients.
Methods: Ten patients with endoscopically documented malignant duodenal
strictures from pancreatic head carcinoma in whom self-expandable
endoprostheses were placed are retrospectively analyzed. In three
patients with jaundice, biliary stents were also placed. Standard
esophageal type (not membrane coated) Wallstent self-expandable
endoprostheses were used.
Patients: Gastric outlet obstruction was relieved in all patients after
implantation of duodenal endoprostheses, and jaundice was palliated in
those with additional biliary obstruction after bile duct stenting. One
case of gastric ulceration was the major complication. No recurrence of
gastric outlet obstruction was noted in the follow-up period of 1 to 5
months.
Conclusion: The preliminary data suggest that self-expandable duodenal
endoprostheses can effectively relieve gastric outlet obstruction in
patients with advanced pancreatic head carcinoma.
Συγγραφείς:
Feretis, C
Benakis, P
Dimopoulos, C
Manouras, A and
Tsimbloulis, B
Apostolidis, N
Περιοδικό:
Gastrointestinal Endoscopy
DOI:
10.1016/S0016-5107(97)70066-X
