抄録
A 58-year-old male complaining of swallowing disturbance was admitted to our hospital. Exploratory laparotomy for cardiac gastric cancer performed because of peritoneal dissemination and invasion to phren of the cancer. Seven months later, he was diagnosed as cardiac stricture by progression of the cancer. Non-covered stent was applied to improve the stricture. Five months later, the oral portion of the stent developed stenosis due to tumor growth, and placement of a covered stent through the first stent was performed to obtain the patency. Two months later, the oral portion and the anal portion of these stents developed stenosis due to tumor growth, and additional placement of each two covered stents was done at both oral and anal side of formed treatment. As a result, he could take semi-solid food for about eleven months after cardiac stenosis till cancer death. Our case showed problem in placing stent in stent without full stent expansion. Inadequate expansion maked food impaction and dead space between esophageal wall and stent. So far, we think that expandable metaric stent theraphy for gastric stenosis is useful to the inprovement of quality of life and hope more development of expandable metaric stent.
