神戸大学附属図書館デジタルアーカイブ
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https://hdl.handle.net/20.500.14094/90008500
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2024-04-19
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90008500 (fulltext)
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5.71 MB
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メタデータID
90008500
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open access
出版タイプ
Version of Record
タイトル
Clinical management for malignant afferent loop obstruction
著者
Sakai, Arata ; Shiomi, Hideyuki ; Masuda, Atsuhiro ; Kobayashi, Takashi ; Yamada, Yasutaka ; Kodama, Yuzo
著者ID
A3027
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=39aeb4dc91762a7a520e17560c007669
著者名
Sakai, Arata
酒井, 新
サカイ, アラタ
所属機関名
医学部附属病院
著者ID
A1447
研究者ID
1000040595485
著者名
Shiomi, Hideyuki
塩見, 英之
シオミ, ヒデユキ
所属機関名
医学部附属病院
著者ID
A1441
研究者ID
1000060512530
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=8e53c3b2b0e2af03520e17560c007669
著者名
Masuda, Atsuhiro
増田, 充弘
マスダ, アツヒロ
所属機関名
医学研究科
著者ID
A0869
研究者ID
1000090709669
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=c0642206b11bcdbe520e17560c007669
著者名
Kobayashi, Takashi
小林, 隆
コバヤシ, タカシ
所属機関名
医学部附属病院
著者名
Yamada, Yasutaka
著者ID
A2301
研究者ID
1000080378687
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=464addb6eeafabbc520e17560c007669
著者名
Kodama, Yuzo
児玉, 裕三
コダマ, ユウゾウ
所属機関名
医学研究科
収録物名
World Journal of Gastrointestinal Oncology
巻(号)
13(7)
ページ
684-692
出版者
Baishideng Publishing Group
刊行日
2021-07-15
公開日
2021-08-12
抄録
Afferent loop obstruction (ALO) is defined as duodenal or jejunal mechanical obstruction at the proximal anastomosis site of a gastrojejunostomy. With advances in chemotherapy, the incidence of malignant ALO is increasing. Malignant ALO can be complicated by ischemia, gangrenous bowel, pancreatitis, and ascending cholangitis. Moreover, the general condition of patients with recurrent cancer is often poor. Therefore, accurate and rapid diagnosis and minimally invasive treatments are required. However, no review articles on the diagnosis and treatment of malignant ALO have been published. Through literature searching, we reviewed related articles published between 1959 and 2020 in the PubMed database. Herein, we present recent advances in the diagnosis and treatment of malignant ALO and describe future perspectives. Endoscopic transluminal self-expandable metal stent (SEMS) placement is considered the standard treatment for malignant ALO, as this procedure is well established and less invasive. However, with the development of interventional endoscopic ultrasound (EUS) in recent years, the usefulness of EUS-guided gastrojejunostomy has been reported. Moreover, through indirect comparison, this approach has been reported to be superior to transluminal SEMS placement. It is expected that a safer and less invasive treatment method will be established through the continued advancement and innovation of interventional endoscopy techniques.
キーワード
Malignant afferent loop obstruction
Endoscopic self-expandable metal stent placement
Endoscopic ultrasound guided gastrojejunostomy
Lumen-apposing metal stent
カテゴリ
医学研究科
医学部附属病院
学術雑誌論文
権利
© The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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資源タイプ
journal article
言語
English (英語)
eISSN
1948-5204
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関連情報
DOI
https://doi.org/10.4251/wjgo.v13.i7.684
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