2004 Volume 46 Issue 7 Pages 1373-1379
Self-expandable metallic stenting (SEMS) was performed in 15 cases of duodenal malignant stenosis by applying an ileus aid system longovertube with balloon tip (Sumitomo bakelite CO. LTD.) devised for ileus tube. Compared with the conventional overtube guided method, the new method showed increase in the success rate for insertion, and the insertion time was considerably shortened. As a consequence, previously seen problems caused by the bending of the tube in the stomach and duodenum became easier to avoid, and in turn the chances for complications in the early stage, such as aspiration pneumonia, perforation, and bleeding, became rare.