胃癌による幽門狭窄に対して内視鏡的十二指腸ステント留置術が有効であった1例

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A patient was a 72-year old man complains of vomiting and anorexia. Upper gastrointestinal endoscopy revealed a type 3 gastric cancer in the gastric antrum with pyloric stenosis. Patient presented with vomiting, anorexia, leading to a markedly impaired quality of life. Recent reports have described stent placements are a desirable alternative to the palliative surgical procedures by bypass anastomosis in patient with gastric outlet obstruction (GOO). Stent placements can enhance patient′s quality of life, as it provides immediate clinical benefit. He had thoracic aortic aneurysm of refused operation, so we selected to treatment for GOO by endoscopic metalic stent placement. Endoscopic metalic stent placement promptly improves oral intake in a majority of inoperable patient with malignant gastric outlet obstruction. We report endoscopic metalic stent placement was successfully treated.