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- Hironori Tanaka, Kazuhiro Ota, Noriaki Sugawara, Taro Iwatsubo, Shimpei Kawaguchi, Yosuke Mori, Noriyuki Nakajima, Akitoshi Hakoda, Yuichi Kojima, Yoshihiro Inoue, Toshihisa Takeuchi, and Kazuhide Higuchi.
- Second Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Japan.
- Intern. Med. 2022 Nov 15; 61 (22): 334333473343-3347.
AbstractA 74-year-old woman with recurrent gastric cancer underwent laparotomy for peritoneal dissemination, and the damaged jejunum formed a jejunocutaneous fistula. Because conservative treatment alone could not cure the fistula, we performed an endoscopic placement of a partially covered self-expandable metallic stent (SEMS) to cover the fistula. After the procedure, the contrast medium no longer leaked from the intestinal lumen. One month after stent placement, the cutaneous opening had closed. This case report demonstrates the potential for using partially covered SEMS to treat intractable jejunocutaneous fistula in patients with terminal-stage malignant tumors.
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