胰腺癌导致的十二指肠梗阻经肝放置营养管1例

摘要

晚期胰腺癌导致的胆道及十二指肠梗阻患者生存期一般较短，对此类患者应以最小的创伤方法治疗为主。本文报道1例晚期胰腺癌导致的胆道及十二指肠梗阻患者，胆道梗阻给予胆道支架治疗后解除了梗阻性黄疸，由于此患者心脏功能不全不能耐受胃空肠吻合术，并且在DSA下和内窥镜下放置支架及营养管失败，最后采取经肝、胆道支架放置营养管治疗，获得了一定的疗效。%Usually the survival period of patients with duodenal obstruction caused by inoperable advanced pancreatic cancer is rather short. For such patients, minimally invasive treatment should be employed as the first choice. This paper reported a case with advanced pancreatic cancer complicated by biliary and duodenal obstruction. After implantation of biliary stent, the obstructive jaundice was relieved. Because of the insufficient cardiac function, the patient was not able to tolerate gastrojejuostomy; besides, as both DSA-guided stent implantation and endoscopic nutrition tube placement failed to success, implantation of nutrition tube via the trans-hepatic and biliary route, as a novel tube placement technique, had to be carried out, and the result in this case was satisfactory.