title: Palliative Percutaneous Jejunal Stent for Patients with Short Bowel Syndrome.
abstract: Gastrointestinal obstruction is a common preterminal event in patients with gastric and pancreatic cancer who often undergo palliative bypass surgery. Although endoscopic palliation with self-expandable metallic stents has emerged as a safe and effective alternative to surgery, experience with this technique remains limited. In particular, a proximal jejunal obstruction requires more technical expertise than a duodenal obstruction. Palliative treatment modalities include both surgical and nonsurgical approaches. In this report, we describe the successful placement of self-expandable metallic stents at the proximal jejunum using a combination of percutaneous endoscopic, intraoperative, and transstomal stenting. Usually endoscopy is not indicated in cases of proximal jejunal obstruction, but some cases may require palliative endoscopy instead of bypass operation.
authors.affiliation: Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Takayama
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Ochi
authors.forename: Akira
authors.initials: A
authors.lastname: Yasuda
authors.forename: Masaki
authors.initials: M
authors.lastname: Sakamoto
authors.forename: Hideki
authors.initials: H
authors.lastname: Takahashi
authors.forename: Yoshimi
authors.initials: Y
authors.lastname: Akamo
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Takeyama