ステント留置によりＱＯＬの著明な改善が得られた切除不能スキルス胃癌による十二指腸狭窄の１例

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  • A PATIENT OF UNRESECTABLE SCIRRHOUS GASTRIC CANCER WITH DUODENAL STRICTURE WHO WAS SUCCESSFULLY TREATED WITH INTESTINAL STENT, RESULTING IN MARKED IMPROVEMENT OF QUALITY OF LIFE

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A 80-year-old woman was admitted to hospital with appetite loss. She was diagnosed as unresectable type-4 gastric cancer with invasion to the duodenum and pancreas head . The chemotherapy using TS-1 and paclitaxcel was performed. The therapy was effective for the tumor, and she complained no symptoms and could eat the meal sufficiently. Sixteen month later, however, the gastric tumor relapsed and invaded the descending and transverse part of the duodenum, resulting in lumen stricture, and she could not eat the meal. To treat the malignant duodenal stricture, we tried to insert a self-expandable metallic stent (EMS), by endoscopy under fluoroscopy-aided method. We successfully inserted EMS by applying the long overtube of the ileus-aid-system. After the insertion of EMS, she could eat rice porridge enough, again. Her condition recovered markedly, and performance status improved from grade 3 to 1. Thereafter five months, the duodenal stricture did not occur, until when she died of sepsis resulting from biliary and urinary infection. A case of unresectable scirrhous gastric cancer with duodenal stricture who was successfully treated with intestinal stent, resulting in marked improvement of quality of life was presented.as successfully treated with intestinal stent, resulting in marked improvement of quality of life was presented.

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