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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 439 - 449 (11page)
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초록· 키워드
오류제보하기
Gastric outlet obstruction, afferent or efferent limb obstruction, and biliary obstruction among patients with altered anatomy oftenrequire surgical intervention which is associated with significant morbidity and mortality. Endoscopic dilation for benign etiologiesrequires multiple sessions, whereas self-expandable metal stents used for malignant etiologies often fail due to tumor in-growth. Lumenapposing metal stents, placed endoscopically with the intent of creating a de-novo gastrointestinal anastomosis bypassing the site ofobstruction, can potentially achieve similar effcacy, with a much lower complication rate. In our study cohort (n=79), the compositetechnical success rate and clinical success rate was 91.1% (72/79) and 97.2% (70/72), respectively. Five different techniques were used:43% (34/79) underwent the balloon-assisted method, 27.9% (22/79) underwent endoscopic ultrasound-guided balloon occludedgastro-jejunostomy bypass, 20.3% (16/79) underwent the direct technique, 6.3% (5/79) underwent the hybrid rendezvous technique,and 2.5% (2/79) underwent natural orifice transluminal endoscopic surgery (NOTES)-assisted procedure. All techniques required anechoendoscope except NOTES. In all, 53.2% (42/79) had non-cautery enhanced Axios stent, 44.3% (35/79) had hot Axios stent, and2.5% (2/79) had Niti-S spaxus stent. Symptom-recurrence was seen in 2.8%, and 6.3% had a complication (bleeding, abdominal pain orperitonitis). All procedures were performed by experts at centers of excellence with adequate surgical back up.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
ASGE Standards of Practice Committee / 2011 / The role of endoscopy in gastroduodenal obstruction and gastroparesis / Gastrointest Endosc 74:13~21
ASGE Standards of Practice Committee / 2010 / The role of endoscopy in the management of patients with peptic ulcer disease / Gastrointest Endosc 71:663~668
Kozarek RA / 1990 / Long-term follow-up in patients who have undergone balloon dilation for gastric outlet obstruction / Gastrointest Endosc 36:558~561
Solt J / 2003 / Long-term results of balloon catheter dilation for benign gastric outlet stenosis / Endoscopy 35:490~495
Mittal A / 2004 / Matched study of three methods for palliation of malignant pyloroduodenal obstruction / Br J Surg 91:205~209
ASGE Standards of Practice Committee / 2010 / The role of endoscopy in the management of patients with peptic ulcer disease / Gastrointest Endosc 71:663~668
Kozarek RA / 1990 / Long-term follow-up in patients who have undergone balloon dilation for gastric outlet obstruction / Gastrointest Endosc 36:558~561
Solt J / 2003 / Long-term results of balloon catheter dilation for benign gastric outlet stenosis / Endoscopy 35:490~495
Mittal A / 2004 / Matched study of three methods for palliation of malignant pyloroduodenal obstruction / Br J Surg 91:205~209
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