X-ray Combined With Endoscopic Gastrojejunostomy Initial Exploration

ObjectiveTo evaluate the feasible and effective of X-ray combined with endoscopic gastrojejunostomy in treatment of gastric outlet obstruction.MethodsA total of 6 patients with gastric outflow tractwere enrolled from Shandong Provincial Hospital from April 2017 to June 2017.They were also treatment with X-ray combined with endoscopic gastrojejunostomy.Three days after surgery with upper gastrointestinal radiography,The patency of the anastomotic stent/the smooth entry of the contrast medium into the jejunum showed no extravasation of contrast media;the patient was able to enter a diet.And routine anti-tumor therapy was performed.After the operation,every January review or telephone follow-up,to understand the patient's eating situation,whether or not vomiting recurrence,and survival.To know the patient's feeding condition,whether there was any recurrence of vomiting or not,and to evaluate the postoperative complications of the patients.SPSS 19.0 was used to analyze the data,and the t test was used to compare the variables.Results6 patients were successfully performed X-ray and endoscopy gastrojejunostomy,the success rate was 100%.Of these,5 patients had a successful puncture,and 1 patient underwent two successful punctures.After the two puncture,the titanium clamp was used to seal the perforation of the stomach wall,and the abdominal cavity drainage tube was given and peritoneal lavage was carried out,gastroenterography performed 3 daysafter upper digestive tract fistula were not appeared,patients can into the liquid diet,The immediate effective rate was 100%.No nausea or vomiting occurred after the operation.Complications:1(1/6)gastrointestinal bleeding occurred in the patients,improved after conservative treatment,without abdominal bleeding,anastomotic fistula and other complications.1 month after the operation were reviewed:1 patients died of tumor progression and renal failure 34 days after operation,and the rest of the 6 patients were followed up for 48.8 days on average.They were unobstructed and can be injected into liquid or semi fluid diet.ConclusionUnder the auxiliary intestinal obstruction catheter,X-ray combinedwith endoscopy double mushroom covered stent gastrojejunostomy is feasible,safe and effective.