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2015 ; 8
(8
): 14236-41
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gab.com Text
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English Wikipedia
Stent implantation technique through PEG-like pathway for treatment of malignant
gastroduodenal obstruction
#MMPMID26550402
Niu HX
; Zhang XK
; Wang B
; Yang HG
; Wang J
; Zhou Z
Int J Clin Exp Med
2015[]; 8
(8
): 14236-41
PMID26550402
show ga
OBJECTIVE: To investigate feasibility and safety of stent implantation technique
through percutaneous endoscopic gastrostomy (PEG)-like pathway for treatment of
malignant gastroduodenal obstructions. METHODS: Twelve patients with malignant
gastroduodenal obstructions accepted PEG-like operations. A stent implantation
pathway was established in abdominal wall under endoscopic guide. A guide wire
and a stent release device were introduced through this pathway followed by an
intestinal stent implantation. After operation, efficacy and safety of this
technique were assessed by collecting data such as operation time, complications,
postoperative medication, and hospitalization time during postoperative 2-12
months of follow-up. RESULTS: Twelve patients were successfully treated with
stent implantation technique through PEG-like pathway for the first time. The
average operation time was 31 minutes. No severe complications occurred during
treatment. On the fourth days after operation, patents were give liquid diet and
treatment of rehydration, acid suppression, hemostasis and anti-inflammation. The
average hospitalization time was 5 days. The follow-up time was 2-12 months.
Twelve (100%) patients achieved complete remissions. The stent related
complications and obstruction did not appear within 2 months after operations.
The quality of life improved significantly. CONCLUSION: The stent implantation
technique through PEG-like pathway for treatment of malignant gastroduodenal
obstruction is a feasible, effective, and safe choice.