膵・胆道癌による Gastric outlet obstruction (GOO) に対する self-expandable metallic stent (SEMS) 留置 [in Japanese] Self-Expandable Metallic Stent (SEMS) Placement for Gastric Outlet Obstruction (GOO) Caused by Pancreato-biliary Cancer [in Japanese]
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膵・胆道癌進行例では，消化管浸潤によりしばしばGastric outlet obstruction（GOO）をきたす．GOO６症例に対して，本邦で初めて薬価収載された十二指腸用self-expandable metallic stent（SEMS）を留置した．全例でSEMSによる胃・十二指腸狭窄の解除に成功し，自覚症状の改善がみられ，食事摂取が可能となった．また，経過観察中に合併症は認められなかった．SEMSはGOOに対する安全で有効な治療であり，膵・胆道癌進行症例の症状緩和をもたらし，Quality of Life（QOL）の向上に寄与すると考えられた．
Gastric outlet obstruction (GOO) frequently occurs as a late complication of advanced pancreato-biliary cancer. Six patients with pancreato-biliary cancer complicated by GOO were treated by self-expandable metallic stents (SEMS) that is commercially available in Japan from April, 2010. In all patients, SEMS were successfully placed in the stenotic sites of the duodenum. After placing the SEMS, appetite loss, nausea or vomiting were disappeared and all patients could take foods. There was no complication during the observation period. Duodenal stenting by SEMS is safe and useful for GOO by pancreato-biliary cancer. It is considered that the procedure provides a relief of symptoms and enhance quality of life.
- Yamaguchi Medical Journal
Yamaguchi Medical Journal 60(3), 51-56, 2011-06-30
Yamaguchi University Medical Association