AIM: To determine the best mothod for benign stricture of the upper gastrointestinal tract (UGIT) with stent insertion by follow-up evaluation.METHODS: A total of 110 stents insertions were performed in 110 cases of b...AIM: To determine the best mothod for benign stricture of the upper gastrointestinal tract (UGIT) with stent insertion by follow-up evaluation.METHODS: A total of 110 stents insertions were performed in 110 cases of benign stricture of the UGIT. Permanent (group A) and temporary (group B) placement of an expandable metal stent in 30 cases and 80 cases respectively. All cases were completed under fluoroscopy.RESULTS: In group A, 30 uncovered or antireflux covered or partially covered expandable metal stents were placed permanently. In group A, 5 cases (16.7 %) in 3-months, 5 cases (20.0 %) in 6-months, 6 cases (25 %) in the 1st year,6 cases (50 %) in the 3rd year, and 4 cases (80 %) in the 5th year exhibited dysphagia relapse. In group B, a partiallycovered expandable metal stent was temporarily placed in each patient and removed after 3-7 days via gastroscopy.Follow-up data in this group showed that 8 cases (7.5 %) in 3-months, 9 cases (12.0 %) in 6-months, 10 cases (15.4 %) in the 1st year, 6 cases (20 %) in the 3rd year, and 3 cases (25 %) in the 5th year exhibited dysphagia relapse. The placement and withdrawal of all stents were all performed successfully. The follow-up of all cases lasted for 3-99 months (mean 41.6±19.7 months).CONCLUSION: The best mothod for benign stricture of UGIT with stent insertion is temporary placement of a partially-covered expandable metal stent.展开更多
目的 探讨黄斑马导丝引导下置入三腔喂养管对上消化道狭窄患者的应用效果。方法 选取43例上消化道狭窄患者,随机分为A组( n =21,经胃镜活检孔插入鼠齿钳置入三腔喂养管)和B组( n =22,经黄斑马导丝引导下置入三腔喂养管),比较两组置管成...目的 探讨黄斑马导丝引导下置入三腔喂养管对上消化道狭窄患者的应用效果。方法 选取43例上消化道狭窄患者,随机分为A组( n =21,经胃镜活检孔插入鼠齿钳置入三腔喂养管)和B组( n =22,经黄斑马导丝引导下置入三腔喂养管),比较两组置管成功率、置管时间及相关并发症。结果 A组置管时间为( 27.43± 6.68)min,高于B组置管时间[(8.95±2.54) min],差异有统计学意义( t =11.879, P <0.05)。A组一次置管成功率为57.1%(12/21),低于B组的置管成功率[95.5%(21/22)],差异有统计学意义(χ^2= 6.820 , P < 0.05 )。A组并发症发生率为42.9%(9/21),明显高于B组并发症发生率[13.6%(3/22)],差异有统计学意义(χ^2= 4.560 , P <0.05)。结论 经胃镜黄斑马导丝引导三腔喂养管应用于上消化道狭窄患者置管时间短、成功率高、并发症少,值得临床推广使用。展开更多
基金National Key Technologies Research and Development Program of China during 9~(th)Five-Year Plan Period,No.96-907-03-04Shanghai Nature Science Funds,No.02Z 1314073Shanghai Medical Development Funds,No.00419
文摘AIM: To determine the best mothod for benign stricture of the upper gastrointestinal tract (UGIT) with stent insertion by follow-up evaluation.METHODS: A total of 110 stents insertions were performed in 110 cases of benign stricture of the UGIT. Permanent (group A) and temporary (group B) placement of an expandable metal stent in 30 cases and 80 cases respectively. All cases were completed under fluoroscopy.RESULTS: In group A, 30 uncovered or antireflux covered or partially covered expandable metal stents were placed permanently. In group A, 5 cases (16.7 %) in 3-months, 5 cases (20.0 %) in 6-months, 6 cases (25 %) in the 1st year,6 cases (50 %) in the 3rd year, and 4 cases (80 %) in the 5th year exhibited dysphagia relapse. In group B, a partiallycovered expandable metal stent was temporarily placed in each patient and removed after 3-7 days via gastroscopy.Follow-up data in this group showed that 8 cases (7.5 %) in 3-months, 9 cases (12.0 %) in 6-months, 10 cases (15.4 %) in the 1st year, 6 cases (20 %) in the 3rd year, and 3 cases (25 %) in the 5th year exhibited dysphagia relapse. The placement and withdrawal of all stents were all performed successfully. The follow-up of all cases lasted for 3-99 months (mean 41.6±19.7 months).CONCLUSION: The best mothod for benign stricture of UGIT with stent insertion is temporary placement of a partially-covered expandable metal stent.
文摘目的 探讨黄斑马导丝引导下置入三腔喂养管对上消化道狭窄患者的应用效果。方法 选取43例上消化道狭窄患者,随机分为A组( n =21,经胃镜活检孔插入鼠齿钳置入三腔喂养管)和B组( n =22,经黄斑马导丝引导下置入三腔喂养管),比较两组置管成功率、置管时间及相关并发症。结果 A组置管时间为( 27.43± 6.68)min,高于B组置管时间[(8.95±2.54) min],差异有统计学意义( t =11.879, P <0.05)。A组一次置管成功率为57.1%(12/21),低于B组的置管成功率[95.5%(21/22)],差异有统计学意义(χ^2= 6.820 , P < 0.05 )。A组并发症发生率为42.9%(9/21),明显高于B组并发症发生率[13.6%(3/22)],差异有统计学意义(χ^2= 4.560 , P <0.05)。结论 经胃镜黄斑马导丝引导三腔喂养管应用于上消化道狭窄患者置管时间短、成功率高、并发症少,值得临床推广使用。
