| 위암으로 인한 위출구 폐쇄에서 막미부착형 자가팽창형 금속제 스텐트의 유용성 |
| 박형열ㆍ강대환ㆍ엄재섭ㆍ하태인ㆍ박찬호ㆍ김경엽ㆍ최철웅ㆍ김도훈ㆍ김지영ㆍ이혜정ㆍ김광하ㆍ송근암 |
| 부산대학교 의과대학 내과학교실 |
| Uncovered Self-expandable Metal Stents (SEMS) for Gastric Outlet Obstruction Caused by Stomach Cancer |
| Hyoung Yoel Park, M.D., Dae Hwan Kang, M.D., Jae Sup Eum, M.D., Tae In Ha, M.D., Chan Ho Park, M.D., Kyung Yeob Kim, M.D., Cheol Woong Choi, M.D., Do Hoon Kim, M.D., Ji Young Kim, M.D., Hye Jeong Lee, M.D., Gwang Ha Kim, M.D. and Geun Am Song, M.D. |
| Department of Internal Medicine, Busan National University College of Medicine, Busan, Korea |
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| Abstract |
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Background/Aims:
The use of self-expandable metal stents (SEMS) is a safe and efficacious method for palliating malignant gastric outlet obstruction. However, few reports have assessed clinical outcome after the insertion of SEMS for malignant gastric outlet obstruction caused by stomach cancer. The aim of this study was to assess the usefulness of uncovered SEMS in patients with malignant gastric outlet obstruction caused by stomach cancer.
Methods:
We evaluated 62 patients with gastric outlet obstruction caused by stomach cancer treated by the implantation of uncovered SEMS. A total of 62 patients (43 males, 19 females) were treated between August 2000 and March 2007. A scoring system was used to grade the ability to eat.
Results:
Stent implantation was successful in 61 (98.4%) patients. Relief of obstructive symptoms was achieved in 49 (80.3%) patients. The mean survival duration was 143 days. The mean stent patency time was 103.5 days. An improvement in the ability to eat using the scoring system was statistically significant (p＜0.05).
Conclusions:
Endoscopic placement of uncovered SEMS is a safe and effective treatment for the palliation of patients with inoperable malignant gastric outlet obstruction caused by stomach cancer. (Korean J Gastrointest Endosc 2008;36:57-63) |
| Key Words:
Malignant gastric outlet obstruction, Stomach cancer, Self-expandable metal stents |
| 주요어:
위암, 위출구 폐쇄, 내시경적 자가팽창형 금속제 스텐트 |
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