학술논문
위출구폐쇄로 삽입한 금속스텐트의 기능부전 환자에서의 초음파 내시경 유도하 위공장문합술
Endoscopic Ultrasonography-guided Gastrojejunostomy for Patients with Gastric Outlet Obstruction and Pyloric Metal Stent Dysfunction
Endoscopic Ultrasonography-guided Gastrojejunostomy for Patients with Gastric Outlet Obstruction and Pyloric Metal Stent Dysfunction
Document Type
Article
Author
김병선 / Byung Sun Kim; 양성열 / Sung Yeol Yang; 이원동 / Won Dong Lee; 송재선 / Jae Sun Song; 양민아 / Min A Yang; 정금모 / Gum Mo Jung; 조진웅 / Jin Woong Cho; 김지웅 / Ji Woong Kim
Source
대한소화기학회지 / The Korean Journal of Gastroenterology. Jun 30, 2022 79(6):260
Subject
Language
Korean
ISSN
1598-9992
Abstract
A 52-year-old woman with a gastric outlet obstruction (GOO) caused by pyloric cancer underwent pyloric endoscopic self-expandable metal stent (SEMS) insertion. She presented with abdominal distension 40 days later. The SEMS was dysfunctional, and endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) was performed using an endoscopic nasobiliary drainage tube. A 16 mm×31 mm Niti-S™ HOT SPAXUS™ (TaeWoong Medical, Gimpo, Korea) was inserted successfully between the stomach and the adjacent jejunum. After the procedure, the patient had a good oral intake for more than seven months. GOO is a mechanical obstructive condition caused by various benign and malignant conditions. Traditionally, surgical GJ and SEMS insertion have been used to treat GOOs. EUS-GJ is a feasible treatment option for patients with GOO and a pyloric metal stent dysfunction. (Korean J Gastroenterol 2022;79:260-264)