A case of R0 resection in conversion surgery after duodenal stent placement for locally advanced unresectable pancreatic cancer with duodenal stenosis
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- IWAI Yuta
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- FUJITA Yuriko
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- TAKAMOTO Takeshi
- Department of Hepato-Biliary-Pancreatic Surgery, National Cancer Center Hospital
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- FUKUDA Tomohiro
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- IMAMURA Satoshi
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- TSUNODA Yuya
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- NAGAKUBO Shuichi
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- MOROHOSHI Yuichi
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- KOIKE Yuji
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
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- KOMATSU Hirokazu
- Department of Gastroenterology, Yokohama Municipal Citizen's Hospital
Bibliographic Information
- Other Title
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- 十二指腸狭窄をともなう局所進行切除不能膵癌に対して十二指腸ステント留置後Conversion SurgeryにてR0切除し得た1例
Abstract
<p>A 67-year-old man presented to our hospital with vomiting. Esophagogastroduodenoscopy revealed duodenal stenosis and atypical epithelium. A tumor in the pancreatic head, about 30mm in size, involving the superior mesenteric artery and a superior mesenteric vein was identified using abdominal contrast computed tomography (CT). Locally advanced pancreatic cancer was diagnosed in the patient through an endoscopic biopsy. Due to the duodenal stenosis complication, duodenal stent placement was conducted. After stent placement, oral intake was resumed, and improvement of the systemic condition led to chemotherapy (modified FOLFIRINOX). After chemotherapy, CT revealed decreased carcinoma progression and vascular invasion. Conversion surgery was improved, and R0 resection was achieved. Our study showed that duodenal stent placement could enhance prognosis;as a result, it was regarded as a good choice for multidisciplinary therapy.</p>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 121 (5), 407-414, 2024-05-10
The Japanese Society of Gastroenterology