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題名 | Application of the Self-Expandable Metallic Stent for Palliation of Obstructing Rectosigmoid Cancer: Report of a Case=自動擴張金屬支架之置放對阻塞性大腸直腸癌之姑息治療:一病例報告 |
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作者 | 張麗文; 孫灼基; 楊國卿; | 書刊名 | 內科學誌 |
卷期 | 13:6 2002.12[民91.12] |
頁次 | 頁293-299 |
分類號 | 416.245 |
關鍵詞 | 阻塞性大腸直腸癌; 腸阻塞; 自動擴張金屬支架; Colon and rectal carcinoma; Obstruction; Metallic stent; |
語文 | 英文(English) |
中文摘要 | 約有百分之八至百分之廿九的大腸直腸癌病患以腸阻塞為臨床表現。對此類身體狀況不良的腸癌併腸阻塞之病患,傳統治療為緊急減壓手術,因此腸造口之建立常是無可避免的。我們報告一位阻塞性大腸直腸癌併局部淋巴結及多發性肝轉移之病患,以內視鏡置放自動擴張金屬支架作為姑息療法,避免了腸造口之建立。我們相信自動擴張金屬支架置放術對惡性大腸直腸阻塞是一種安全、有效的治療方法,可免去姑息性腸造口術的必要。 |
英文摘要 | Eight to 29 % of colorectal carcinoma present with obstruction. The traditional treatment of neoplastic colonic obstruction usually includes emergency surgery even on poor-risk patients, and the creation of a stoma is usually inevitable. We report a case of advanced rectosigmoid cancer with regional lymphadenopathy and multiple liver metastasis treated conservatively with endoscopic placement of a self-expandable metallic stent (SEMS) for colonic obstruction. We believe that SEMS placement is a safe, effective method for palliative treatment of neoplastic colorectal obstruction, obviating the need for colostomy. |
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