A Long-over Tube Facilitates Expandable Metal Stent Placement for Palliation of Pyrolic Stenosis due to Non-resectable Gastric Cancer: A Case Report.

  • YOSHIZAWA Yashiro
    Department of Gastroenterology,Hamamatsu Rosai Hospital, Hamamatsu, Shizuoka, Japan.
  • KIKUYAMA Masataka
    Department of Gastroenterology,Hamamatsu Rosai Hospital, Hamamatsu, Shizuoka, Japan.
  • SASADA Yuzo
    Department of Gastroenterology,Hamamatsu Rosai Hospital, Hamamatsu, Shizuoka, Japan.
  • HIRAI Ritsuko
    Department of Gastroenterology,Hamamatsu Rosai Hospital, Hamamatsu, Shizuoka, Japan.
  • IWAMOTO Satoru
    Department of Gastroenterology,Hamamatsu Rosai Hospital, Hamamatsu, Shizuoka, Japan.

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Other Title
  • 悪性幽門狭窄に対するexpandable metal stent留置術に内視鏡的イレウス管挿入システム用のロングオーバーチューブが有用であった1例

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Abstract

A 70-year-old man presented with tarry stool. Endoseopic examination revealed heznor-rhage frorn Borrmann 30f type gastric cancer located at gastric antrum. Metastatic turnors inthe liver also recognized on computed tomography and ultrasorlography, Endoscopic hemostatwas performed, but the gastric tumor was not thought to be curatively resectable. To relievepyrolic stenosis due tc the gastric tumor, an expandable metal stent was successfully placedwith long over-tube developed for ileus tube placement. Compared with a conventional over-tube, the long over-tube equipped with a balloon at the tip of the tube facilitated stentplacement because the balloon prevented tube migration frorn the stenotic portion of the lesiQndu.ring insertion delivery system.

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