Cargando…
Endoscopic stent placement with laparoscopic stent fixation in a patient with obstruction at a gastrojejunostomy anastomosis site
BACKGROUND: Palliative endoscopic stent placement may be considered in patients with malignant gastrointestinal obstruction. Stent migration is a potential complication, particularly for those placed at a surgical anastomosis or across a stricture caused by extra-alimentary tract factors. We report...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310678/ https://www.ncbi.nlm.nih.gov/pubmed/37382836 http://dx.doi.org/10.1186/s40792-023-01699-4 |
_version_ | 1785066586985463808 |
---|---|
author | Son, Kiwa Shindo, Koji Ouchida, Kenoki Moriyama, Taiki Tamura, Koji Nagayoshi, Kinuko Mizuuchi, Yusuke Ikenaga, Naoki Nakata, Kohei Nakamura, Masafumi |
author_facet | Son, Kiwa Shindo, Koji Ouchida, Kenoki Moriyama, Taiki Tamura, Koji Nagayoshi, Kinuko Mizuuchi, Yusuke Ikenaga, Naoki Nakata, Kohei Nakamura, Masafumi |
author_sort | Son, Kiwa |
collection | PubMed |
description | BACKGROUND: Palliative endoscopic stent placement may be considered in patients with malignant gastrointestinal obstruction. Stent migration is a potential complication, particularly for those placed at a surgical anastomosis or across a stricture caused by extra-alimentary tract factors. We report a patient with left renal pelvis cancer and gastrojejunostomy obstruction who underwent endoscopic stent placement and laparoscopic stent fixation. CASE PRESENTATION: A 60-year-old male with peritoneal dissemination of a left renal pelvis cancer was admitted for treatment of upper gastrointestinal obstruction. A laparoscopic gastrojejunostomy had been previously performed for cancer invasion of the duodenum. Imaging showed gastroduodenal dilation and impaired passage of contrast medium through the efferent loop of the gastrojejunostomy. Gastrojejunostomy anastomosis site obstruction due to dissemination of left renal pelvis cancer was diagnosed. Conservative treatment failed and endoscopic stent placement with laparoscopic stent fixation was performed. After surgery, the patient was able to tolerate oral intake and he was discharged without complications. The patient gained weight and was able to resume chemotherapy, indicating the procedure was effective. CONCLUSIONS: Endoscopic stent placement with laparoscopic stent fixation for malignant upper gastrointestinal obstruction appears effective in patients with a high risk of stent migration. |
format | Online Article Text |
id | pubmed-10310678 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-103106782023-07-01 Endoscopic stent placement with laparoscopic stent fixation in a patient with obstruction at a gastrojejunostomy anastomosis site Son, Kiwa Shindo, Koji Ouchida, Kenoki Moriyama, Taiki Tamura, Koji Nagayoshi, Kinuko Mizuuchi, Yusuke Ikenaga, Naoki Nakata, Kohei Nakamura, Masafumi Surg Case Rep Case Report BACKGROUND: Palliative endoscopic stent placement may be considered in patients with malignant gastrointestinal obstruction. Stent migration is a potential complication, particularly for those placed at a surgical anastomosis or across a stricture caused by extra-alimentary tract factors. We report a patient with left renal pelvis cancer and gastrojejunostomy obstruction who underwent endoscopic stent placement and laparoscopic stent fixation. CASE PRESENTATION: A 60-year-old male with peritoneal dissemination of a left renal pelvis cancer was admitted for treatment of upper gastrointestinal obstruction. A laparoscopic gastrojejunostomy had been previously performed for cancer invasion of the duodenum. Imaging showed gastroduodenal dilation and impaired passage of contrast medium through the efferent loop of the gastrojejunostomy. Gastrojejunostomy anastomosis site obstruction due to dissemination of left renal pelvis cancer was diagnosed. Conservative treatment failed and endoscopic stent placement with laparoscopic stent fixation was performed. After surgery, the patient was able to tolerate oral intake and he was discharged without complications. The patient gained weight and was able to resume chemotherapy, indicating the procedure was effective. CONCLUSIONS: Endoscopic stent placement with laparoscopic stent fixation for malignant upper gastrointestinal obstruction appears effective in patients with a high risk of stent migration. Springer Berlin Heidelberg 2023-06-29 /pmc/articles/PMC10310678/ /pubmed/37382836 http://dx.doi.org/10.1186/s40792-023-01699-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Son, Kiwa Shindo, Koji Ouchida, Kenoki Moriyama, Taiki Tamura, Koji Nagayoshi, Kinuko Mizuuchi, Yusuke Ikenaga, Naoki Nakata, Kohei Nakamura, Masafumi Endoscopic stent placement with laparoscopic stent fixation in a patient with obstruction at a gastrojejunostomy anastomosis site |
title | Endoscopic stent placement with laparoscopic stent fixation in a patient with obstruction at a gastrojejunostomy anastomosis site |
title_full | Endoscopic stent placement with laparoscopic stent fixation in a patient with obstruction at a gastrojejunostomy anastomosis site |
title_fullStr | Endoscopic stent placement with laparoscopic stent fixation in a patient with obstruction at a gastrojejunostomy anastomosis site |
title_full_unstemmed | Endoscopic stent placement with laparoscopic stent fixation in a patient with obstruction at a gastrojejunostomy anastomosis site |
title_short | Endoscopic stent placement with laparoscopic stent fixation in a patient with obstruction at a gastrojejunostomy anastomosis site |
title_sort | endoscopic stent placement with laparoscopic stent fixation in a patient with obstruction at a gastrojejunostomy anastomosis site |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310678/ https://www.ncbi.nlm.nih.gov/pubmed/37382836 http://dx.doi.org/10.1186/s40792-023-01699-4 |
work_keys_str_mv | AT sonkiwa endoscopicstentplacementwithlaparoscopicstentfixationinapatientwithobstructionatagastrojejunostomyanastomosissite AT shindokoji endoscopicstentplacementwithlaparoscopicstentfixationinapatientwithobstructionatagastrojejunostomyanastomosissite AT ouchidakenoki endoscopicstentplacementwithlaparoscopicstentfixationinapatientwithobstructionatagastrojejunostomyanastomosissite AT moriyamataiki endoscopicstentplacementwithlaparoscopicstentfixationinapatientwithobstructionatagastrojejunostomyanastomosissite AT tamurakoji endoscopicstentplacementwithlaparoscopicstentfixationinapatientwithobstructionatagastrojejunostomyanastomosissite AT nagayoshikinuko endoscopicstentplacementwithlaparoscopicstentfixationinapatientwithobstructionatagastrojejunostomyanastomosissite AT mizuuchiyusuke endoscopicstentplacementwithlaparoscopicstentfixationinapatientwithobstructionatagastrojejunostomyanastomosissite AT ikenaganaoki endoscopicstentplacementwithlaparoscopicstentfixationinapatientwithobstructionatagastrojejunostomyanastomosissite AT nakatakohei endoscopicstentplacementwithlaparoscopicstentfixationinapatientwithobstructionatagastrojejunostomyanastomosissite AT nakamuramasafumi endoscopicstentplacementwithlaparoscopicstentfixationinapatientwithobstructionatagastrojejunostomyanastomosissite |