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KMID : 0311120090500020296
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Yonsei Medical Journal
2009 Volume.50 No. 2 p.296 ~ p.299
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Benefits of Recurrent Colonic Stent Insertion in a Patient with Advanced Gastric Cancer with Carcinomatosis Causing Colonic Obstruction
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Park Se-Mi
Lee Sang-Kil
Chung Hyun-Cheol
Jeung Hei-Cheul
Ahn Joong-Bae
Shin Sang-Joon
Rha Sun-Young
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Abstract
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Malignant obstruction develops frequently in advanced gastric cancer. Although it is primarily the gastric outlet that is obstructed, there are occasional reports of colonic obstruction. Treating intestinal obstruction usually requires emergency surgery or stent insertion. There are several kinds of complications with stent insertion, such as bowel perforation, stent migration, bleeding, abdominal pain and reobstruction. Nevertheless, endoscopic stent insertion could be a better treatment than emergency surgery in cases of malignant bowel obstruction in cancer patients with poor performance status. We report a case of advanced gastric cancer with carcinomatosis in which a recurrent colonic stent was inserted at the same site because of cancer growth into the stent. The patient maintained a good condition for chemotherapy, thus improving their chances for survival.
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KEYWORD
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Gastric cancer, carcinomatosis, colonic stent, benefit
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