GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
PLACEMENT OF DUODENAL METALLIC STENT THROUGH PERCUTANEOUS EXTERNAL GASTROSTOMY FOR MALIGNANT DUODENAL STRICTURE
Susumu HIJIOKATakaaki IKARIAkira KAMEIKoichi TAKANOShingo ASAHARANaoya FUJITAMiyuki SHIMIZUNaoyuki URAGAMIJunko FUJISAKIEtsuo HOSHINORikiya FUJITAEiichi SATO
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2006 Volume 48 Issue 1 Pages 59-67

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Abstract
Self-expandable metallic stent (EMS) is considered to be useful for improving the quality of life (QOL) in patients with malignant duodenal stricture. However, the procedure is difficult to perform in severe or lengthy strictures of the duodenum and the standard procedure has not been established yet. Our experience shows that the placement of duodenal metallic stent through percutaneous external gastrostomy (PEG) allows precise stenting and can reduce a procedure-related pain. PEG is useful for decompression in cases of re-stenosis of the duodenum by tumor infiltration.
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© Japan Gastroenterological Endoscopy Society
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