title: [A case of advanced pancreatic cancer treated successfully with self-expandable stent, PTEG and chemotherapy].
abstract: A 52-year-old male admitted to our hospital for ileus was diagnosed with advanced pancreatic cancer. He was complicated with multiple alimentary tract stenosis (duodenal third portion, ascending portion and splenic-flexure portion of colon) due to intraabdominal spread of malignancies. The self-expandable metal stent was successfully placed in each stenotic portion with being effectively decompressed of his intestinal obstruction by the procedure of percutaneous transesophageal gastro-tubing (PTEG). These treatments improved his symptoms to ingest orally in addition to the tube feeding per PTEG. Furthermore, he has been receiving adjuvant chemotherapy with GEM, S-1, and CPT-11 for 9 months at outpatient department. We concluded a combined procedure of self-expandable stent and PTEG was useful palliative treatment in malignant gastrointestinal obstruction of advanced pancreatic cancer.
authors.affiliation: Dept. of Intemal Medicine, Kousei Hospital.
authors.forename: Seiji
authors.initials: S
authors.lastname: Tokumitsu
authors.forename: Akira
authors.initials: A
authors.lastname: Nozaki
authors.forename: Takeo
authors.initials: T
authors.lastname: Kanazawa
authors.forename: Takehiko
authors.initials: T
authors.lastname: Tsunashima
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010190:Pancreatic Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed