scholarly journals A CASE OF PYLORIC STENOSIS DUE TO INTRAMURAL METASTASIS FROM GASTRIC CANCER

Author(s):  
Yoshito WADA ◽  
Kentaro NABEYAMA ◽  
Nobuaki SAITO ◽  
Ryo MIYAZAKI
2003 ◽  
Vol 36 (11) ◽  
pp. 1504-1509
Author(s):  
Tsukasa Takabayashi ◽  
Toshio Kanai ◽  
Motohito Nakagawa ◽  
Michio Sakata ◽  
Keigo Matsumoto ◽  
...  

2009 ◽  
Vol 24 (8) ◽  
pp. 1358-1364 ◽  
Author(s):  
Takaya Shimura ◽  
Hiromi Kataoka ◽  
Makoto Sasaki ◽  
Tomonori Yamada ◽  
Kazuki Hayashi ◽  
...  

Author(s):  

Background For gastric cancer patients with strong pyloric stenosis, decompression by nasogastric tube insertion for gastric distension and central venous nutrition management have been performed. However long-term indwelling of the nasogastric tube is accompanied by pain, and Central venous catheter placement is inferior to enteral nutrition from infection risk and nutritional viewpoint. Furthermore, these generally require management in hospitalization. Case presentation An 81-year-old male was referred to our hospital for gastric cancer accompanied by pyloric stenosis. Blood test resulted in low nutrition and anemia. CT showed thickening of the wall from the anterior gastric part to the pylorus and enlargement of 50mm in the regional lymph node, and gastric distention. We planned resection after preoperative chemotherapy. We performed double PTEG (Percutaneous Tran Esophageal Gastro-tubing) from cervical co-wound for decompression and nutrition management of the stomach. Total laparoscopic gastrectomy was performed on day 114 after insertion of the double PTEG. During which time he had been good nutrition and no gastric distention with stayed at home for 42 days. On the 10th postoperative day, he was clinically released from hospital without any complications. Conclusions We conducted a new management to reduce and nourish patients with gastric cancer who had a pyloric stenosis by double PTEG (percutaneous trans-esophageal gastro-tubing), and can perform curative surgery after preoperative chemotherapy including home management period.


Author(s):  
Masaaki SHIMOYAMA ◽  
Yasuyuki KAWACHI ◽  
Masayuki NAGAHASHI ◽  
Atsushi NISHIMURA ◽  
Keiya NIKKUNI ◽  
...  

2001 ◽  
Vol 62 (12) ◽  
pp. 2909-2912
Author(s):  
Takashi EMOTO ◽  
Kiyoshi YOSHIKAWA ◽  
Masahiro FUJIKAWA ◽  
Makoto FUJII ◽  
Eisaku HAMADA ◽  
...  

1993 ◽  
Vol 26 (4) ◽  
pp. 1053-1056
Author(s):  
Hideaki Nishidoi ◽  
Minoru Ishiguro ◽  
Hirofumi Kudoh ◽  
Satoshi Murakami ◽  
Tadao Masaki ◽  
...  

2016 ◽  
Vol 49 (10) ◽  
pp. 1053-1058
Author(s):  
Kenichi Matsumoto ◽  
Shunji Endo ◽  
Shinsuke Nakashima ◽  
Katsuya Ohta ◽  
Tomo Nakagawa ◽  
...  

1994 ◽  
Vol 10 (2) ◽  
pp. 121-124 ◽  
Author(s):  
Akihiro Watanabe ◽  
Tatsuo Oshiro ◽  
Hisao Oiwa ◽  
Shinji Ohno ◽  
Yosuke Adachi ◽  
...  

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