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

Truong, S.; Bohndorf, V.; Geller, H. S.; Schumpèlick, V.; Günther, R. W.

doi:10.1055/s-2007-1010515

Cited by 65 publications

(34 citation statements)

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“…More recently, enteral SEMS have been used to palliate malignant gastric outlet stenosis and gastroduodenal obstructions after Truong et al [22] published their fi rst stent procedure in 1992. Today it is accepted that placement of a SEMS for gastric outlet obstruction has the potential of providing immediate and more durable relief than other non-surgical modalities [12] .…”

Section: Stentingmentioning

confidence: 99%

Endoscopic Palliation and Nutritional Support in Advanced Gastric Cancer

Dormann

2004

Dig Dis

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Most of the patients with advanced gastric cancer have incurable disease at presentation and require palliative treatment to reduce symptoms as vomiting, nausea and inability to eat. Treatment options are palliative surgery and endoscopic techniques. Insertion of self-expanding metal stents is nowadays a well-established method of treating biliary and esophageal strictures and is also effective in gastric tumors. The indication and application technique are described in this review. In addition, enteral nutrition is indicated if the gastrointestinal tract functions but swallowing or mastication is compromised by disease or if it is needed to pass an obstructed area, especially in gastric tumor patients. This article reviews the enteral nutrition techniques and their clinical value for patients with advanced gastric cancer.

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Section: Stentingmentioning

confidence: 99%

Endoscopic Palliation and Nutritional Support in Advanced Gastric Cancer

Dormann

2004

Dig Dis

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“…Radiologists were the first to offer an alternative to surgery by demonstrating the feasibility of stent placement using a peroral or percutaneous approach under fluoroscopic guidance [35] , but this approach never gained popularity due to its invasiveness and limited success rate [4] . Technological advances have led to the development of selfexpandable metallic stents that can pass through the operating channel of a therapeutic endoscope, allowing for endoscopic placement with fluoroscopic guidance, first described by Truong et al [6] in 1992. Endoscopic treatment has become more successful as this approach has increased in popularity.…”

Section: Introductionmentioning

confidence: 99%

Treatment of malignant gastric outlet obstruction with endoscopically placed self-expandable metal stents

Gaidos

Draganov²

2009

WJG

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Malignant gastroduodenal obstruction can occur in up to 20% of patients with primary pancreatic, gastric or duodenal carcinomas. Presenting symptoms include nausea, vomiting, abdominal distention, pain and decreased oral intake which can lead to dehydration, malnutrition, and poor quality of life. Endoscopic stent placement has become the primary therapeutic modality because it is safe, minimally invasive, and a cost-effective option for palliation. Stents can be successfully deployed in the majority of patients. Stent placement appears to lead to a shorter time to symptomatic improvement, shorter time to resumption of an oral diet, and shorter hospital stays as compared with surgical options. Recurrence of the obstructive symptoms resulting from stent occlusion, due to tumor ingrowth or overgrowth, can be successfully treated with repeat endoscopic stent placement in the majority of the cases. Both endoscopic stenting and surgical bypass are considered palliative treatments and, to date, no improvement in survival with either modality has been demonstrated. A tailored therapeutic approach, taking into consideration patient preferences and involving a multidisciplinary team including the therapeutic endoscopist, surgeon, medical oncologist, radiation therapist, and interventional radiologist, should be considered in all cases.

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“…Truong and collegues (Truong et al, 1992) also reported palliative treatment of malignant gastric outlet obstruction using a self-expanding metal stent.…”

Section: Recurrent Bulbar Urethral Stricturesmentioning

confidence: 99%

The Use of Prosthetic Stents in Tracheobronchial,Gastrointestinal, and Genitourinary Diseases

Edell

Hughes

Öesterling

et al. 1994

Diagnostic and Therapeutic Endoscopy

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The concept of using a stent to maintain patency of a lumen is not new. As early as 1969, stents were being investigated in the peripheral medal system as a means of preventing restenosis after dilatation by balloon angioplasty (Dotter, 1969 Fabian (Fabian, 1980) was the first to describe the use of a stent or spiral in the lower urinary tract. He placed a metallic endoprosthesis in the prosthetic urethra of poor surgical risk patients in urinary retention as a result of an enlarged prostate. Based upon these results and the successful outcome of others, it became clear that stenting of the lower urinary tract was a workable concept (Fabricius et al., 1983;Flier and Seppelt, 1987).At the present time, there are a number of intraurethral endoprostheses being developed for use in the lower urinary tract. However, the two permanently implanted intraurethral stents that have been investigated most extensively in both Europe and the United States are the Intraprostatic Stent by advance surgical intervention (San Clemente, California), and the UroLume Endoprosthesis,

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

Abstract: Treatment of inoperable gastric outlet obstruction caused by tumor compression is difficult and often unsatisfactory. The case of a 56-year-old female patient in whom self-expanding stents were implanted, successfully enabling oral nutrition, is reported.

Cited by 65 publications

References 0 publications

Endoscopic Palliation and Nutritional Support in Advanced Gastric Cancer

Endoscopic Palliation and Nutritional Support in Advanced Gastric Cancer

Treatment of malignant gastric outlet obstruction with endoscopically placed self-expandable metal stents

The Use of Prosthetic Stents in Tracheobronchial,Gastrointestinal, and Genitourinary Diseases

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