Agustos 2012
Metal stent (SEMS) ile palyasyonu saglanan peritoneal karsinomatozis?e bagli malign ince barsak tikanikligi olgusu
A small bowel obstruction due to peritoneal carcinomatosis that was successfully palliated with endoscopic SEMS
- Ana Sayfa
- Sayılar
- Agustos 2012
- Metal stent (SEMS) ile palyasyonu saglanan peritoneal karsinomatozis?e bagli malign ince barsak tikanikligi olgusu...
Özet
Kendiliginden açilabilir metal stentler özellikle özofagus, biliyer sistem ve sol kolon tümörlerinin palyatif tedavisinde rutin olarak kullanilmakla birlikte, benign yada malign sebeplere bagli ince barsak darliklarinda kullanimi ile ilgili bilgiler kisitlidir. Bu nedenle özellikle ince barsak kaynakli darliklarda basarili bir sekilde uygulanan endoskopik drenaj islemlerinin merkezler tarafindan rapor edilmesi büyük önem arz etmektedir. Bu nedenle biz burada endoskopik stentlemenin hem teknik olarak zor hemde sonuçlarinin siklikla basarisiz oldugu peritoneal karsinomatozis? e bagli ince barsak tikanikligi olan ve endoskopik olarak konulan kendiliginden açilabilir metalik stent ile palyasyonu saglanan bir olguyu paylasmak istiyoruz. Her ne kadar peritoneal karsinomatozis hastalarinda, es zamanli lezyonlarin varligi, eksternal basi ve uzun segment tikaniklik nedeniyle stentleme bazi zorluklar gösterse de sinirli lokalizasyonu olan seçilmis vakalarda cerrahi tedavinin makul bir alternatifi olabilir.
Abstract
The routine use of self-expandable metallic stents in the palliation of esophageal, biliary system and left-sided colonic neoplasms is well known, but there is only limited evidence that related to the use of self-expandable metallic stents in obstructions due to small bowel neoplasms. Therefore, it is crucial for centers to report their experiences in small bowel obstructions that was treated successfully with endoscopic drainage procedures. We herein would like to share our previous experience in a patient with small bowel obstruction due to peritoneal carcinomatosis that was successfully palliated with endoscopic self-expandable metallic stents replacement, despite its technical difficulties and common failure rates. Although the patients with peritoneal carcinomatosis present with accompanying lesions, external impression and long segment obstruction that leads to difficulties while stent replacement, it can be an acceptable alternative to surgical routes in selected cases.
