Bir taşla üç kuş: Perkütan ve endoskopik yolla aynı seansta biliyer ve enterik metalik stent uygulaması

Yıl 2014, Cilt: 13 Sayı: 3, 110 - 112, 01.12.2014

Nuretdin Suna Bülent Ödemiş Erkin Öztaş - Ufuk Barış Kuzu Serkan Torun - Mehmet Yurdakul Ertuğrul Kayaçetin

Öz

Opere mide kanseri sonrası nüks olan tümörlerin çoğu inoperabl veya palyatif cerrahi için uygun olmamaktadır. Bu hastalarda gelişen malign intestinal ve biliyer darlıklarda palyatif tedavi amacıyla metalik stent yerleştirilmesi artık rutin olarak uygulanmaktadır. Bu yazıda opere mide kanseri nüksüne bağlı malign intestinal ve biliyer darlık gelişen ve aynı seansta endoskopik ve perkütan yol ile 3 adet metalik stent konan bir olguyu sunuyoruz

Anahtar Kelimeler

Malign darlık, çoklu metalik stent

Hitting three birds with one stone: Placement of multiple biliary enteric metallic stents in the same session by percutaneous and endoscopic approach

Öz

Recurrent tumors following surgery for gastric cancer are largely inoperable and are not suitable for palliative surgery. Metallic stent placement as a palliative therapy is routinely used in patients with malignant intestinal and biliary obstructions. In this report, we present the case of a patient who developed a malignant intestinal and biliary obstruction due to the recurrence of gastric cancer; 3 metallic stents were placed in the same session using an endoscopic and percutaneous approach

Anahtar Kelimeler

Malignant obstruction, multiple metallic stent, gastric cancer

Kaynakça

• Johnsson E, Thune A, Liedman B. Palliation of malignant gastrodu- odenal obstruction with open surgical bypass or endoscopic stent- ing: clinical outcome and health economic evaluation. World J Surg 2004;28:812-7.
• Song HY, Kim TH, Choi EK, et al. Metallic stent placement in pa- tients with recurrent cancer after gastrojejunostomy. J Vasc Interv Radiol 2007; 8:1538-46.
• Cho YK, Kim SW, Nam KW, et al. Clinical outcomes of self-ex- pandable metal stents in palliation of malignant anastomotic stric- tures caused by recurrent gastric cancer. World J Gastroenterol 2009;15:3523-7.
• Tong DK-H, Law S, Wong KH. The use of selfexpanding metallic stents (SEMS) is effective in symptom palliation from recurrent tumor after esophagogastrectomy for cancer. Dis Esophagus 2010;23:660-5.
• Hong HP, Seo TS, Cha IH, et al. Percutaneous placement of self-ex- pandable metallic stents in patients with obstructive jaundice sec- ondary to metastatic gastric cancer after gastrectomy. Korean J Radiol 2013;14:789-96.
• Kaw M, Singh S, Gagneja H. Clinical outcome of simultaneous self-expandable metal stents for palliation of malignant biliary and duodenal obstruction. Surg Endosc 2003;17:457-61.