[Palliation of gastric cancer-related jejunum stricture with a self-expandable metal stent - a case report with review of the literature].
Prospective randomized controlled studies have indicated that endoscopic placement of self-expandable metal stents (SEMSs)is an effective treatment option for patients with malignant gastric outlet obstruction (GOO). We report a case of effective palliation of gastric cancer-related jejunum stricture with a SEMS. A7 7-year-old woman, who had previously undergone partial remnant gastrectomy and Roux-en-Y reconstruction, was diagnosed with abdominal recurrence of gastric cancer. After a 4 month observation period, which the patient opted for with informed consent, recurrent vomiting and loss of appetite ensued. Computed tomography (CT) and upper gastrointestinal series (UGI) examinations revealed a single intestinal stenosis caused by a recurrent tumor. Endoscopic placement of a SEMS palliated this intestinal obstruction, and her oral intake improved (GOOSS score improved from 0 to 3). Upper gastrointestinal series verified that the SEMS maintained its lumen 3 months after the procedure. Endoscopic treatment with a SEMS can be more effective for malignant intestinal stenosis caused by abdominal recurrence of gastric cancer, especially when it is difficult to laparotomy adhesion derived previous operation or peritonitis carcinomatosa. Further studies may be needed to clarify the clinical benefits of stent placement for patients with abdominal recurrence of gastric cancer.
Dept. of Surgery, Division of Digestive Surgery, Kyoto Prefectural University of Medicine.
Mahito
M
Miyamae
Shuhei
S
Komatsu
Daisuke
D
Ichikawa
Kazuma
K
Okamoto
Toshiyuki
T
Kosuga
Takeshi
T
Kubota
Hirotaka
H
Konishi
Ryo
R
Morimura
Yasutoshi
Y
Murayama
Atsushi
A
Shiozaki
Yoshiaki
Y
Kuriu
Hisashi
H
Ikoma
Masayoshi
M
Nakanishi
Hitoshi
H
Fujiwara
Chouhei
C
Sakakura
Eigo
E
Otsuji
D000368:Aged; D000713:Anastomosis, Roux-en-Y; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000628:therapy*; D007583:Jejunum; D010166:Palliative Care; D012008:Recurrence; D015607:Stents; D013274:Stomach Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery