Cited 23 times in
Preliminary study of enteroscopy-guided, self-expandable metal stent placement for malignant small bowel obstruction
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박준철 | - |
dc.contributor.author | 신성관 | - |
dc.contributor.author | 이상길 | - |
dc.contributor.author | 이용찬 | - |
dc.contributor.author | 이혁 | - |
dc.date.accessioned | 2014-12-19T17:07:17Z | - |
dc.date.available | 2014-12-19T17:07:17Z | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 0815-9319 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/90816 | - |
dc.description.abstract | BACKGROUND AND AIMS: Technical limitations of conventional endoscopes and delivery systems frequently hamper palliative endoscopic placement of self-expandable metal stents for malignant small bowel obstruction. This study examined feasibility of the double balloon enteroscope-guided withdrawal-reinsertion method as a rescue procedure in patients with failed palliative stent placement for malignant small bowel obstruction. METHODS: We enrolled 19 consecutive patients with small bowel obstruction due to metastatic gastric (n = 15) or colorectal cancer (n = 2), or primary small bowel carcinoma (n = 2), in whom previous attempts to place self-expandable metal stents using conventional endoscopy had failed. Ten patients had undergone previous gastric surgery. After passing a guide-wire using an enteroscope with or without the double-balloon method, the enteroscope was withdrawn. A conventional endoscope was re-inserted along the guide-wire, and through-the-scope self-expandable metal stent placement was performed. RESULTS: Obstruction sites were efferent jejunal loop, proximal jejunum, and third duodenal portion. Technical success was achieved with 94.7% (18/19) of stents, and clinical success occurred with 84.2% (16/19) of patients. The gastric outlet obstruction score (pre-procedure: 0.68 ± 0.58) increased by one week (2.05 ± 0.52, P < 0.001). Stent migration and restenosis occurred in two (10.5%) and four (21.1%) of 19 stents, respectively. Median stent patency duration was 67 days and median survival was 93 days; these did not differ significantly by palliative chemotherapy (P = 0.76 and 0.67, respectively). CONCLUSIONS: The double-balloon enteroscopy-guided method followed by conventional endoscopic self-expandable metal stent delivery was effective for rescue palliation of malignant small bowel obstruction. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Double-Balloon Enteroscopy/adverse effects | - |
dc.subject.MESH | Double-Balloon Enteroscopy/methods* | - |
dc.subject.MESH | Duodenal Obstruction/etiology | - |
dc.subject.MESH | Duodenal Obstruction/surgery | - |
dc.subject.MESH | Feasibility Studies | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Gastric Outlet Obstruction/etiology | - |
dc.subject.MESH | Gastric Outlet Obstruction/surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intestinal Neoplasms/complications* | - |
dc.subject.MESH | Intestinal Obstruction/etiology | - |
dc.subject.MESH | Intestinal Obstruction/surgery* | - |
dc.subject.MESH | Jejunal Diseases/etiology | - |
dc.subject.MESH | Jejunal Diseases/surgery | - |
dc.subject.MESH | Kaplan-Meier Estimate | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Metals | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Palliative Care/methods | - |
dc.subject.MESH | Stents*/adverse effects | - |
dc.subject.MESH | Stomach Neoplasms/complications | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Preliminary study of enteroscopy-guided, self-expandable metal stent placement for malignant small bowel obstruction | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Hyuk Lee | - |
dc.contributor.googleauthor | Jun Chul Park | - |
dc.contributor.googleauthor | Sung Kwan Shin | - |
dc.contributor.googleauthor | Sang Kil Lee | - |
dc.contributor.googleauthor | Yong Chan Lee | - |
dc.identifier.doi | 10.1111/j.1440-1746.2012.07113.x | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01676 | - |
dc.contributor.localId | A02112 | - |
dc.contributor.localId | A02812 | - |
dc.contributor.localId | A02988 | - |
dc.contributor.localId | A03285 | - |
dc.relation.journalcode | J01417 | - |
dc.identifier.eissn | 1440-1746 | - |
dc.identifier.pmid | 22414138 | - |
dc.identifier.url | http://onlinelibrary.wiley.com/doi/10.1111/j.1440-1746.2012.07113.x/abstract | - |
dc.subject.keyword | double balloon enteroscopy | - |
dc.subject.keyword | gastrointestinal neoplasm | - |
dc.subject.keyword | intestinal obstruction | - |
dc.subject.keyword | stent. | - |
dc.contributor.alternativeName | Park, Jun Chul | - |
dc.contributor.alternativeName | Shin, Sung Kwan | - |
dc.contributor.alternativeName | Lee, Sang Kil | - |
dc.contributor.alternativeName | Lee, Yong Chan | - |
dc.contributor.alternativeName | Lee, Hyuk | - |
dc.contributor.affiliatedAuthor | Park, Jun Chul | - |
dc.contributor.affiliatedAuthor | Shin, Sung Kwan | - |
dc.contributor.affiliatedAuthor | Lee, Sang Kil | - |
dc.contributor.affiliatedAuthor | Lee, Yong Chan | - |
dc.contributor.affiliatedAuthor | Lee, Hyuk | - |
dc.citation.volume | 27 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1181 | - |
dc.citation.endPage | 1186 | - |
dc.identifier.bibliographicCitation | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Vol.27(7) : 1181-1186, 2012 | - |
dc.identifier.rimsid | 33551 | - |
dc.type.rims | ART | - |
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