Palliation of Malignant Gastric Outlet Obstruction with Self-Expanding Metal Stents

Feretis, Christos; Benakis, P.; Dimopoulos, C.; Γεωργόπουλος, Κωνσταντίνος; Milas, F.; Manouras, Andreas; Apostolidis, Nikolaos

doi:10.1055/s-2007-1005432

Cited by 84 publications

(58 citation statements)

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“…Tumor ingrowth occurred in 14 (26.4%) patients at a mean of 78.4 d in our study. Overall recurrent stenosis rates of 8%-46% at an interval of 2-21 wk (mean, 7.5 wk) have been reported in other studies [14,15,[19][20][21][22][23][24] . It is difficult to compare our results with results of other studies because other reports included patients with a variety of cancers.…”

Section: Discussionsupporting

confidence: 65%

Self-expandable metallic stents for palliation of patients with malignant gastric outlet obstruction caused by stomach cancer

Kim

Kang²,

Kim³

et al. 2007

WJG

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Section: Discussionsupporting

confidence: 65%

Self-expandable metallic stents for palliation of patients with malignant gastric outlet obstruction caused by stomach cancer

Kim

Kang²,

Kim³

et al. 2007

WJG

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“…The dearth of information on long-term outcomes reflects the short life expectancy of these patients; mean survival is about thirteen weeks. 5,7,8 The reported complications include ulceration caused by the stent wires, 9 bleeding, stent migration, mechanical occlusion, and perforation. 5,10,11 Technical difficulties are few.…”

Section: Discussionmentioning

confidence: 99%

Enteral Stenting in 21 Patients with Malignant Gastroduodenal Obstruction

et al. 2003

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SUMMARYPlacement of an enteral stent is emerging as an effective alternative to surgery for symptomatic relief in patients with malignant gastric outflow and duodenal obstruction. We report experience in a series of patients who had the Wallstent enteral prosthesis inserted.21 consecutive patients with inoperable obstruction, median age 75 years, had twenty-three procedures for insertion of the Wallstent under fluoroscopic guidance. Stent implantation was successful in 18 patients (86%), all of whom gained relief from nausea and vomiting. There were no short-term complications. Median survival after the procedure was four months (longest ten months), and no deaths were related to insertion.The efficacy and lack of complications in this series support use of the endoscopically placed stent for palliative management of malignant upper gastrointestinal obstruction.

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“…Surgical palliation is indicated in selected cases with peritonitis and paralytic ileus, but because of the invasiveness of the intervention and the poor general condition of these patients, it is associated with significant complications. Although there was no report for postoperative leakage after gastric surgery, metallic stent placement has shown encouraging results for the palliation of malignant gastrointestinal tract obstruction and fistula (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). In this report, we present a case of the postoperative leakage after total gastrectomy which was successfully treated with temporary placement of a covered metallic stent.…”

Section: Introductionmentioning

confidence: 92%

Leakage of Jejunal End of Roux Limb after Total Gastrectomy: Management with a Placement of a Covered Metallic Stent: Case Report

et al. 2003

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Postoperative leakage is a serious complication in patients after gastric surgery. It can lead to a rapid deterioration in the patient's condition and quality of life. Treatment is guided by the type of anastomosis and the patient's clinical status. The role of interventional radiology in gastrointestinal tract is evolving. Metallic stent placement has shown encouraging results for the palliation of gastrointestinal tract obstruction and fistula in malignant patients. We encountered a case of the leakage of jejunal end of Roux limb after total gastrectomy. This patient required a drainage procedure with long-term parenteral nutrition. We performed peroral placement of a covered metallic stent to avoid surgery and long-term parenteral nutrition, and he resumed adequate oral intake immediately after stent placement. This minimally invasive procedure is very promising for the treatment of a gastrointestinal fistula to avoid surgery and long-term parenteral nutritional support in selected cases.

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Palliation of Malignant Gastric Outlet Obstruction with Self-Expanding Metal Stents

Abstract: These preliminary results suggest that self-expanding stents can effectively relieve malignant gastric outlet obstruction.

Cited by 84 publications

References 0 publications

Self-expandable metallic stents for palliation of patients with malignant gastric outlet obstruction caused by stomach cancer

Self-expandable metallic stents for palliation of patients with malignant gastric outlet obstruction caused by stomach cancer

Enteral Stenting in 21 Patients with Malignant Gastroduodenal Obstruction

Leakage of Jejunal End of Roux Limb after Total Gastrectomy: Management with a Placement of a Covered Metallic Stent: Case Report

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