Fluoroscopic-guided stent placement in failed tentative endoscopic approaches to malignant gastroduodenal obstructions

Kim, Soo Hwan; Song, Ho Young; Park, Jung Hoon; Zhou, Wei; Cho, Young Chul; Shin, Ji Hoon; Kim, Jin Hyoung

doi:10.1177/0284185116682379

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…улучше ние клинической картины по сравнению с базовым состоянием. Однако очень редко можно встретить подробное описание методики, приведшей к тако му результату [3,14,19,20].…”

Section: Discussionunclassified

X-ray Planning and Control in Gastrointestinal Stenting

Kozlova

Bagateliya

Dolidze

et al. 2023

Vestn. rentgenol. radiol.

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Background. Self-expandable metal stents (SEMS) are widely used in gastrointestinal (GI) tract obstructive lesions. Planning and stent placement control can be performed with using roentgenological, endoscopic or combined method. The choice of the method depends on doctor’s preferences and clinic’s traditions, but endoscopic one is used more often. Comparison of the above methods efficacy in a single-institution material was not found in the literature. Objective: to compare clinical and roentgenological results of GI stenting depending on the method used. Material and methods. In 2016–2021, 267 cases of GI stenting were performed in Botkin Municipal Clinical Hospital. In 70 (26%) of them an endoscopic method was used, in 97 (36%) – a roentgenological one, and in 100 (37%) – a combined one. All patients underwent X-ray control postop. Results were analyzed statistically. Results. The implementation of X-ray diagnostics solo or in combination with endoscopy in GI SEMS planning and placement provided better results in comparison with endoscopic method only. Total SEMS expansion was achieved in 99% of cases versus 79% after only endoscopic procedures, correct stent placement – in 98% and 75%, respectively, evacuation was restored in 98% and 70%, respectively. All differences were statistically significant (p < 0.001). It is evident that X-ray methods are not useful for preliminary marking in decompensated patients with GI stenosis. But after elimination of such cases from analysis, the difference between the groups remained statistically significant (p < 0.05). Conclusion. The data obtained substitute expediency of X-ray method solo or with endoscopic one. Significant improvement of the results can be referred to more exact preoperative selection of SEMS type and size with X-ray method.

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Section: Discussionunclassified

X-ray Planning and Control in Gastrointestinal Stenting

Kozlova

Bagateliya

Dolidze

et al. 2023

Vestn. rentgenol. radiol.

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Fluoroscopic Gastroduodenal Stent Placement in 55 Patients with Endoscopic Stent Placement Failure

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Kim

Park

et al. 2018

Cardiovasc Intervent Radiol

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Treatment of afferent loop syndrome using fluoroscopic-guided nasointestinal tube placement: Two case reports

Hu¹,

Ma²,

Zhen-min³

et al. 2020

WJCC

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BACKGROUND Afferent loop syndrome (ALS) is a rare mechanical complication that occurs after reconstruction of the stomach or esophagus to the jejunum, such as Billroth II gastrojejunostomy, Roux-en-Y gastrojejunostomy, or Roux-en-Y esophagoje-junostomy. Traditionally, an operation is the first choice for benign causes. However, for patients in poor physical condition who experience ALS soon after R0 resection, the type of treatment remains controversial. Here, we present an efficient conservative method to treat ALS. CASE SUMMARY Case 1 was a 69-year-old male patient who underwent total gastrectomy with Roux-en-Y jejunojejunostomy. On postoperative day (POD) 10 he developed symptoms of ALS that persisted and increased over 1 wk. Case 2 was a 59-year-old male patient who underwent distal gastrectomy with Billroth II gastrojejunostomy. On postoperative day POD 9 he developed symptoms of ALS that persisted for 2 wk. Both patients underwent fluoroscopic-guided nasointestinal tube placement with maintenance of continuous negative pressure suction. Approximately 20 d after the procedure, both patients had recovered well and were discharged from hospital after removal of the tube. At 3-mo follow-up, there were no signs of ALS in these two patients. CONCLUSION This is the first report of treating postoperative ALS by fluoroscopic-guided nasointestinal tube placement. Our cases demonstrate that this procedure is an effective and safe method to treat ALS that relieves patients’ symptoms and avoids complications caused by other invasive procedures.

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Fluoroscopic-guided stent placement in failed tentative endoscopic approaches to malignant gastroduodenal obstructions

Cited by 4 publications

References 20 publications

X-ray Planning and Control in Gastrointestinal Stenting

X-ray Planning and Control in Gastrointestinal Stenting

Fluoroscopic Gastroduodenal Stent Placement in 55 Patients with Endoscopic Stent Placement Failure

Treatment of afferent loop syndrome using fluoroscopic-guided nasointestinal tube placement: Two case reports

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