超声内镜引导下双气囊封堵式胃空肠旁路术治疗胃出口恶性梗阻一例

病例报告

于源滋¹, 李涛¹, 张楠¹, 乔惠梅², 赵京芳¹, 田相国¹, 吴蕾¹, 胡锦华¹^,^†(

), 刘福利¹, 崔屹¹, 刘吉勇¹

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图1 胃镜所见：胃内大量食物残留，于幽门前区小弯侧见一处深溃疡形成，周围胃壁变形、僵硬

图2 超声内镜引导下双气囊封堵式胃空肠旁路术。2A、2B内镜下释放蕈状支架；2C X线下见造影剂通过顺畅，无渗漏；2D CT成像见支架两端分别位于胃腔及肠腔内

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3	Jeurnink SM, Steyerberg EW, van Hooft JE, et al.Surgical gastrojejunostomy or endoscopic stent placement for the palliation of malignant gastric outlet obstruction(SUSTENT study): a multicenter randomized trial[J]. Gastrointest Endosc, 2010, 71(3): 490-499.
4	Khashab MA, Kumbhari V, Grimm IS, et al.EUS-guided gastroenterostomy: the first U. S.clinical experience(with video)[J]. Gastrointest Endosc, 2015, 82(5): 932-938.
5	Chen YI, Itoi T, Baron TH, el at.EUS-guided gastroenterostomy is comparable to enteral stenting with fewer re-interventions in malignant gastric outlet obstruction[J]. Surg Endosc, 2016.

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