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Safety and efficacy of a partially covered self-expandable metal stent in benign pyloric obstruction

World Journal of Gastroenterology 2014年第44期20卷 16721-16725页

作者： Jun Heo Min Kyu Jung Division of Gastroenterology and Hepatology Department of Internal Medicine Kyungpook National University Hospital

AIM:To evaluate the safety and efficacy of partially covered self-expandable metallic stents(SEMSs)in benign pyloric ***:We retrospectively analyzed data from 10consecutive patients with peptic ulcer-related pyloric obstructive symptoms(gastric outlet obstruction scoring system(GOOSS)score of 1)between March 2012and September *** patients were referred to and managed by partially covered SEMS insertion in our tertiary academic *** assessed the technical success,symptom improvement,and adverse events after ***:Early symptoms were improved just 3 d after SEMS placement in all 10 *** GOOSS score of all patients improved from 1 to *** were no serious immediate adverse *** overall rate of being symptom free was 90%at a median of 11mo of follow-up(range:4-43 mo).Five patients were managed by a rescue SEMS because of failure of previous endoscopic balloon *** them,four patients had sustained symptom improvement after the SEMS *** the follow-up period,migration of the SEMS was observed in two patients(20.0%),both of whom had previous endoscopic balloon dilatation before SEMS ***:Despite the small number in this study,partially covered SEMSs showed a favorable and safe outcome in the treatment of na?ve benign pyloric obstruction and in salvage treatment after balloon dilatation failure.

关键词： benign pyloric obstruction Balloon dilata-tion Self-expandable metallic stent Gastric outlet ob-struction scoring system

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