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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 417 - 422 (6page)
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Background/Aims: The use of self-expandable metallic stents (SEMS) is an established palliative treatment for malignant stenosis in the gastrointestinal tract; therefore, its application to benign stenosis is expected to be beneficial because of the more gradual and sustained dilatation in the stenotic portion. We aimed in this prospective observational study to evaluate the efficacy and safety of temporary SEMS placement in benign pyloric stenosis. Methods: Twenty-two patients with benign stenosis of the prepylorus, pylorus, and duodenal bulb were enrolled and underwent SEMS placement.
We assessed symptom improvement, defined as an increase of at least 1 degree in the gastric-outlet-obstruction scoring system after stent insertion. Results: No major complications were observed during the procedures. After stent placement, early symptom improvement was achieved in 18of 22 patients (81.8%). During the follow-up period (mean 10.2 months), the stents remained in place successfully for 6 to 8 weeks in seven patients (31.8%). Among the 15 patients (62.5%) with stent migration, seven (46.6%) showed continued symptomatic improvement without recurrence of obstructive symptoms. Conclusions: Despite the symptomatic improvement, temporary SEMS placement is premature as an effective therapeutic tool for benign pyloric stenosis unless a novel stent is developed to prevent migration.
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참고문헌 (24)
참고문헌 신청
Acunas B / 2002 / Intervention in gastrointestinal tract: the treatment of esophageal, gastroduodenal and colorectal obstructions with metallic stents / Eur J Radiol 42 : 24
Bessoud B / 2005 / Malignant gastroduodenal obstruction: palliation with self-expanding metallic stents / J Vasc Interv Radiol 16 (2 Pt 1) : 247 ~ 253
Cheng YS / 2004 / Comparison of different intervention procedures in benign stricture of gastrointestinal tract / World J Gastroenterol 10 : 410 ~ 414
Cwikiel W / 1993 / Self-expanding stent in the treatment of benign esophageal strictures: experimental study i
Dormann AJ / 2001 / Self-expanding metallic stents for continuous dilatation of benign stenoses in gastrointestinal tract: first results of long-term follow-up in interim st
Bessoud B / 2005 / Malignant gastroduodenal obstruction: palliation with self-expanding metallic stents / J Vasc Interv Radiol 16 (2 Pt 1) : 247 ~ 253
Cheng YS / 2004 / Comparison of different intervention procedures in benign stricture of gastrointestinal tract / World J Gastroenterol 10 : 410 ~ 414
Cwikiel W / 1993 / Self-expanding stent in the treatment of benign esophageal strictures: experimental study i
Dormann AJ / 2001 / Self-expanding metallic stents for continuous dilatation of benign stenoses in gastrointestinal tract: first results of long-term follow-up in interim st
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