ステント留置を工夫しＱＯＬの改善が得られたＳｃｈｎｉｔｚｌｅｒ転移による直腸狭窄の１例

• 李 栄柱

  大阪市立大学大学院消化器外科

• 大杉 治司

  大阪市立大学大学院消化器外科

• 竹村 雅至

  大阪市立大学大学院消化器外科

• 西川 隆之

  大阪市立大学大学院消化器外科

• 福原 研一朗

  大阪市立大学大学院消化器外科

• 岩崎 洋

  大阪市立大学大学院消化器外科

書誌事項

タイトル別名

• SUCCESSFUL PLACEMENT OF SELF-EXPANDABLE METALLIC STENT AS PALLIATION FOR RECTAL STENOSIS CAUSED BY SCHNITZLER'S METASTASIS

抄録

A 70-year-old Japanese man with pyloric stenosis caused by unresectable gastric cancer had undergone Roux en Y bypass surgery at the age of 69. Oral anticancer agents had been administered on an outpatient basis. Rectal stenosis caused by Schnitzler's metastasis developed 13 months after the bypass surgery. We inserted a self-expandable metallic stent (EMS) with the flared part located on the oral side in order to prevent migration. The patient was able to maintain bowel activity without stent dislocation for 6 months until the small intestine became obstructed. Despite a laparotomy, conventional colostomy tended to be effective palliation only for a short period, because multiple obstructions occurred later on. EMS placement, which is less invasive compared to colostomy and makes spontaneous bowel movement possible, promised to relieve mental and physical stress of patients in the terminal stage.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 67 (6), 1351-1355, 2006

  日本臨床外科学会

キーワード

• ステント
• 直腸狭窄
• Schnitzler転移

詳細情報

• CRID: 1390001204849433984
• NII論文ID: 130003605080
• NII論文ID: 10018199807
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.67.1351
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/6/67_6_1351/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006284616
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可