超声内镜引导下恶性小肠梗阻肠结肠造口术前结肠支架植入术。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-04-19 eCollection Date: 2025-04-01 DOI:10.14309/crj.0000000000001671

Ritik Mahaveer Goyal, Sameer Rao, Anand Shah, Shivani Patel, Imran Qureshi, Ahmed Al-Khazraji, Kaveh Hajifathalian

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引用次数: 0

摘要

恶性小肠梗阻（MSBO）是腹内恶性肿瘤的一种使人衰弱的并发症，其特征是顽固性恶心、呕吐和腹痛。如果保守措施失败，手术干预可能成为治疗症状的必要手段，尽管手术有很大的术后发病率风险。当其他手术或内镜干预措施不可行或失败时，超声内镜引导下的肠结肠造口术是一种新兴的姑息性治疗MSBO的替代方法。我们报告一例50岁的女性MSBO继发于转移性宫颈鳞状细胞癌，她需要在乙状结肠放置腔内结肠支架，然后进行内镜超声引导下的肠结肠造口术。

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Colonic Stenting Before Endoscopic Ultrasound-Guided Enterocolostomy in Malignant Small Bowel Obstruction.

Malignant Small Bowel Obstruction (MSBO) is a debilitating complication of intra-abdominal malignancies, characterized by symptoms such as intractable nausea, vomiting, and abdominal pain. Surgical intervention may become necessary for symptom management if conservative measures fail, although it carries a significant risk of postoperative morbidity. Endoscopic ultrasound-guided enterocolostomy is an emerging alternative for palliative management of MSBO when other surgical or endoscopic interventions are not feasible or have failed. We present a case of a 50-year-old woman with MSBO secondary to metastatic squamous cell carcinoma of cervix who required the placement of a luminal colonic stent in the sigmoid colon before undergoing endoscopic ultrasound-guided enterocolostomy.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.