Use of esophageal small balloon or papillary sphincter knife in the treatment of stent implantation for colorectal malignant obstruction
10.11817/j.issn.1672-7347.2018.05.005
- VernacularTitle:食管小球囊或乳头括约肌切开刀在结直肠癌性梗阻支架置入术中的应用
- Author:
Dinghua XIAO
1
;
Shaojun LIU
;
Hanguang YAN
;
Xiaoyan WANG
Author Information
1. 中南大学湘雅三医院消化内科
- Keywords:
auxiliary guide balloon;
colorectal malignant obstruction;
stent placement
- From:
Journal of Central South University(Medical Sciences)
2018;43(5):490-493
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the function of esophageal small balloon or papillary sphincter knife in the treatment of stent implantation for colorectal malignant obstruction,and to improve the success rate of colonic stent placement in such patients.Methods:A total of 49 patients with colorectal cancer complicated with almost complete obstruction or colorectal cancer were enrolled for this study.The esophageal small balloon or papillary sphincter knife was used in the guide wires.The guide wires gradually crossed the tumor gap and they were placed in the contralateral intestinal cavity with balloon progression.X-ray was then used to confirm whether the guide wire was inserted in the lesion intestinal cavity,and then the metal bare stent was inserted.Results:The guide wires was successfully inserted with conventional methods in these 49 cases,while they were also successfully placed the guide wire and the stent in the new way.Conclusion:For the patients with colorectal cancer complicated with complete obstruction or colorectal cancer located in obviously angled location,the use of esophageal small balloon or papillary sphincter knife can help the guide wire insert.They greatly improve the success rate of stent implantation.
