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KMID : 0614620220790060260
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Korean Journal of Gastroenterology
2022 Volume.79 No. 6 p.260 ~ p.264
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Endoscopic Ultrasonography-guided Gastrojejunostomy for Patients with Gastric Outlet Obstruction and Pyloric Metal Stent Dysfunction
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Kim Byung-Sun
Yang Sung-Yeol
Lee Won-Dong
Song Jae-Sun
Yang Min-A
Jung Gum-Mo
Cho Jin-Woong
Kim Ji-Woong
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Abstract
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A 52-year-old woman with a gastric outlet obstruction (GOO) caused by pyloric cancer underwent pyloric endoscopic self-expandable metal stent (SEMS) insertion. She presented with abdominal distension 40 days later. The SEMS was dysfunctional, and endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) was performed using an endoscopic nasobiliary drainage tube. A 16 mm×31 mm Niti-S ™ HOT SPAXUS™ (TaeWoong Medical, Gimpo, Korea) was inserted successfully between the stomach and the adjacent jejunum.
After the procedure, the patient had a good oral intake for more than seven months. GOO is a mechanical obstructive condition caused by various benign and malignant conditions. Traditionally, surgical GJ and SEMS insertion have been used to treat GOOs. EUS-GJ is a feasible treatment option for patients with GOO and a pyloric metal stent dysfunction.
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KEYWORD
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Gastric outlet obstruction, Pyloric stenosis, Gastroenterostomy, Endosonography, Stents
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