Clinical value of X-ray guided endoscopic gastrojejunostomy using stent (with video)

中华消化内镜杂志 Pub Date : 2019-03-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.03.005

Guangchuan Wang, Q. Pei, Guangjun Huang, Xiaoli Wang, Junyong Zhang, Yongjun Shi, H. Qiao

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Abstract

Objective To evaluate the efficacy and safety of X-ray guided endoscopic gastrojejunostomy using stent in treatment of malignant gastric outlet obstruction (GOO). Methods Six hospitalized patients with malignant GOO underwent X-ray guided endoscopic gastrojejunostomy using stent in the department of gastroenterology, Shandong Provincial Hospital Affiliated to Shandong University between March 2017 and June 2017. The technical success rate, clinical success rate, procedure time, adverse events and follow-up were recorded and analyzed in this retrospective study. Results The stent was successfully placed in the 6 patients with 100% (6/6) technical success rate. The mean procedure time was 91.7±51.8 min. After the procedure, all patients were fed liquid or semi-liquid diet, and the GOO score system was increased from 0-1 before operation to 2-3 after operation. The clinical success rate was 100% (6/6). Peritonitis was observed in 2 patients during operation, and resolved by abdominal drainage. Gastrointestinal bleeding occurred in 1 patient after operation, which was resolved with conservative treatment. During a mean follow-up period of 78.6 days (range 32-100 days), there was no recurrence of obstruction symptoms except that 1 patient died because of tumor progress 60 days after procedure. Conclusion The X-ray guided endoscopic gastrojejunostomy using stent is feasible and safe to treat malignant GOO with a reliable short-term efficacy. Key words: Fluoroscopy; Gastroscopes; Gastric outlet obstruction; Gastrojejunostomy

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X线引导下内镜下支架胃空肠造口术的临床价值（附视频）

目的评价X线引导下内镜下应用支架胃空肠造口术治疗恶性胃出口梗阻（GOO）的疗效和安全性。方法2017年3月至2017年6月，6例恶性GOO住院患者在山东大学附属山东省立医院消化内科接受X光引导下内镜下支架胃空肠造口术。本回顾性研究记录并分析了技术成功率、临床成功率、手术时间、不良事件和随访情况。结果6例患者支架置入成功，技术成功率100%（6/6）。平均手术时间为91.7±51.8min。手术后，所有患者均喂食流质或半流质饮食，GOO评分系统从术前的0-1提高到术后的2-3。临床成功率为100%（6/6）。2例患者在手术中观察到腹膜炎，并通过腹部引流解决。1例患者术后发生胃肠道出血，经保守治疗后出血得到缓解。在78.6天（32-100天）的平均随访期内，除了1名患者在手术后60天因肿瘤进展而死亡外，没有出现梗阻症状复发。结论X线引导下内镜下应用支架胃空肠造口术治疗恶性GOO是可行、安全的，近期疗效可靠。关键词：荧光透视；胃镜；胃出口梗阻；胃空肠造口术

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.