Self-expandable metal stents for malignant gastric outlet obstruction: A modified technique

被引:53
作者
Venu, RP [1 ]
Pastika, BJ [1 ]
Kini, M [1 ]
Chua, D [1 ]
Christian, R [1 ]
Schlais, J [1 ]
Brown, RD [1 ]
机构
[1] Univ Illinois, Therapeut Endoscopy Serv, Enteral Stent Study Grp, Sect Digest & Liver Dis, Chicago, IL 60612 USA
关键词
D O I
10.1055/s-2007-1001343
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background and Study Aims: Endoscopic palliative treatment may be effective in the management of malignant gastric outlet obstruction, However, experience in this area is limited, and the techniques vary widely, In this retrospective study, a uniform technique using nearly identical self-expandable metal stents was employed to assess technical feasibility, safety, and outcome, Patients and Methods: Eight patients presenting with clinical findings of gastric outlet obstruction confirmed by upper gastrointestinal radiography underwent endoscopic placement of expandable metal stents, in patients had primary or metastatic malignancy involving the pylorus or duodenum, Endoscopic and Gastrografin-enhanced upper gastrointestinal radiographic evaluations were carried out immediately after stent placement. Complications and clinical outcomes were assessed in each patient. Results: Five patients had extrinsic compression of the descending duodenum due to pancreatic cancer, two had pyloric stenosis from metastatic cancer, and one patient had primary duodenal cancer, Stent placement was successful in all patients, and was followed by clinical improvement. There was one death within 30 days, related to pneumonia, Conclusion: Endoscopic self-expandable stent placement appears to be a reasonable therapeutic alternative in patients with malignant gastric outlet obstruction.
引用
收藏
页码:553 / 558
页数:6
相关论文
共 18 条
[1]   Duodenal obstruction caused by pancreatic head carcinoma: palliation with self-expandable endoprostheses [J].
Feretis, C ;
Benakis, P ;
Dimopoulos, C ;
Manouras, A ;
Tsimbloulis, B ;
Apostolidis, N .
GASTROINTESTINAL ENDOSCOPY, 1997, 46 (02) :161-165
[2]   Interlocking expandable metal stents for simultaneous treatment of malignant biliary and duodenal obstruction [J].
Freeman, ML ;
Cass, OW .
GASTROINTESTINAL ENDOSCOPY, 1996, 44 (01) :98-99
[3]  
HOLSTEGE A, 1993, GASTROINTEST ENDOSC, V41, pA38
[4]  
HOWELL DA, 1994, GASTROINTEST ENDOSC, V40, pA24
[5]   RELIEF OF MALIGNANT DUODENAL OBSTRUCTION BY PERCUTANEOUS INSERTION OF A METAL STENT [J].
KEYMLING, M ;
WAGNER, HJ ;
VAKIL, N ;
KNYRIM, K .
GASTROINTESTINAL ENDOSCOPY, 1993, 39 (03) :439-441
[6]   A PROSPECTIVE, RANDOMIZED, CONTROLLED TRIAL OF METAL STENTS FOR MALIGNANT OBSTRUCTION OF THE COMMON BILE-DUCT [J].
KNYRIM, K ;
WAGNER, HJ ;
PAUSCH, J ;
VAKIL, N .
ENDOSCOPY, 1993, 25 (03) :207-212
[7]   A CONTROLLED TRIAL OF AN EXPANSILE METAL STENT FOR PALLIATION OF ESOPHAGEAL OBSTRUCTION DUE TO INOPERABLE CANCER [J].
KNYRIM, K ;
WAGNER, HJ ;
BETHGE, N ;
KEYMLING, M ;
VAKIL, N .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (18) :1302-1307
[8]  
Kozarek RA, 1997, AM J GASTROENTEROL, V92, P812
[9]   SELF-EXPANDING METAL STENTS FOR PALLIATIVE TREATMENT OF MALIGNANT BILIARY AND DUODENAL STENOSES [J].
MAETANI, I ;
OGAWA, S ;
HOSHI, H ;
SATO, M ;
YOSHIOKA, H ;
IGARASHI, Y ;
SAKAI, Y .
ENDOSCOPY, 1994, 26 (08) :701-704
[10]   PALLIATIVE OPERATIONS FOR PANCREATIC-CARCINOMA [J].
POTTS, JR ;
BROUGHAN, TA ;
HERMANN, RE .
AMERICAN JOURNAL OF SURGERY, 1990, 159 (01) :72-78