A CASE OF MALIGNANT GASTRIC OUTLET STENOSIS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE OPERATED ON AFTER SUCCESSFUL RESPIRATORY MANAGEMENT AND IMPROVED NUTRITIONAL STATUS
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概要
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A 52-year-old woman under treatment for chronic obstructive pulmonary disease (COPD) at home was admitted to the hospital because of gastric cancer with outlet stenosis. Since her pulmonary function was in a very low level due to severe COPD, the operation had to be postponded and pulmonary rehabilitation with pharmacotherapy was performed for 2 weeks. However, her pulmonary function was not reached to the safety level for surgery. Then, an expandable metallic stent was inserted in the stenotic lesion. After that, she became possible to intake solid diet, and was released from intravenous drip infusion. Her activities in daily life and nutritional status were gradually improved. Three months later, her pulmonary function reached within the safety level for surgical treatment. Distal gastrectomy with lymph node dissection (D1) and Billroth-II reconstruction was performed without any complications. She was discharged from the hospital and is enjoying her life now.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
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