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논문 기본 정보

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학술저널
저자정보
Hakan Şentürk (Department of Gastroenterology, Bezmialem Vakif University Medicine Faculty, Istanbul) İbrahim Hakkı Köker (Department of Gastroenterology, Baskent University Istanbul Hospital, Baskent University Medicine Faculty, Istanbul) Koray Koçhan (Department of Gastroenterology, Bezmialem Vakif University Medicine Faculty, Istanbul) Sercan Kiremitçi (Gastroenterology Clinic, Nevsehir Training and Education Hospital, Nevsehir, Turkiye) Gülseren Seven (Department of Gastroenterology, Bezmialem Vakif University Medicine Faculty, Istanbul) Ali Tüzün İnce (Department of Gastroenterology, Bezmialem Vakif University Medicine Faculty, Istanbul)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy Vol.57 No.2
발행연도
2024.3
수록면
209 - 216 (8page)
DOI
10.5946/ce.2023.022

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Background/Aims: Endoscopic ultrasonography-guided gastrojejunostomy is a minimally invasive method for the management of gastric outlet obstruction. Conventionally, a lumen-apposing metal stent (LAMS) is used to create an anastomosis. However, LAMS is expensive and not widely available. In this report, we described a tubular fully covered self-expandable metallic stent (T-FCSEMS) for this purpose. Methods: Twenty-one patients (15 men [71.4%]; median age, 66 years; range, 40–87 years) were included in this study. A total of 19 malignant (12 pancreatic, 6 gastric, and 1 metastatic rectal cancer) and 2 benign cases were observed. The proximal jejunum was punctured with a 19 G needle. The stomach and jejunum walls were dilated with a 6 F cystotome, and a 20×80 mm polytetrafluoroethylene T-FCSEMS (Hilzo) was deployed. Oral feeding was initiated after 12 to 18 hours and solid foods after 48 hours. Results: The median procedure time was 33 minutes (range, 23–55 minutes). After two weeks, 19 patients tolerated oral feeding. In patients with malignancy, the median survival time was 118 days (range, 41–194 days). No serious complications or deaths occurred. All patients with malignancy tolerated oral food intake until they expired. Conclusions: T-FCSEMS is safe and effective. This stent should be considered as an alternative to LAMS for gastric outlet obstruction.

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