Stomach-partitioning gastrojejunostomy versus stent placement for the treatment of malignant gastric outlet obstruction
Gastric outlet obstruction is a complication of advanced tumors. It causes upper gastrointestinal obstruction, with progressive malnutrition and reduced survival. Currently, gastrojejunostomy or stent placement (SP) are feasible alternatives for the treatment of malignant gastric outlet obstruction....
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| Veröffentlicht in: | Cirugia española (English ed.) 2019-08, Vol.97 (7), p.385-390 |
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| container_title | Cirugia española (English ed.) |
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| creator | López-Sánchez, Jaime Marcos Martín, Ángel F Abdel-Lah Fernández, Omar Quiñones Sampedro, José E Álvarez Delgado, Alberto Esteban Velasco, María C Muñoz-Bellvís, Luis Parreño-Manchado, Felipe C |
| description | Gastric outlet obstruction is a complication of advanced tumors. It causes upper gastrointestinal obstruction, with progressive malnutrition and reduced survival. Currently, gastrojejunostomy or stent placement (SP) are feasible alternatives for the treatment of malignant gastric outlet obstruction. The aim of this study is to compare the efficacy and survival of both techniques.
Single-center observational and prospective study of 58 patients with gastric outlet obstruction who underwent surgical treatment with stomach-partitioning gastrojejunostomy (SPGJ) or SP with self-expanding intraluminal prostheses between 2007 and 2018.
Thirty patients underwent SPGJ and 28 SP. The mean age of the first group was significantly lower (69 vs. 78 years, respectively; P=.001). There were no statistically significant differences in terms of sex, perioperative risk or tumor etiology. Postoperative complications were non-significantly higher in the SPGJ group (P=.156). SP was associated with a shorter hospital stay (P=.02) and faster oral intake (P |
| doi_str_mv | 10.1016/j.ciresp.2019.04.013 |
| format | Article |
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Single-center observational and prospective study of 58 patients with gastric outlet obstruction who underwent surgical treatment with stomach-partitioning gastrojejunostomy (SPGJ) or SP with self-expanding intraluminal prostheses between 2007 and 2018.
Thirty patients underwent SPGJ and 28 SP. The mean age of the first group was significantly lower (69 vs. 78 years, respectively; P=.001). There were no statistically significant differences in terms of sex, perioperative risk or tumor etiology. Postoperative complications were non-significantly higher in the SPGJ group (P=.156). SP was associated with a shorter hospital stay (P=.02) and faster oral intake (P<.0001). However, SP had significantly higher rates of persistent and recurrent obstruction (P=.048 and .01, respectively), poorer energy targets (P=.009) and shorter survival (9.61 vs. 4.47 months; P=.008).
SPGJ presents greater luminal permeability, better oral intake and greater survival than SP. SP is preferable for non-surgical patients with a limited short-term prognosis.</description><identifier>EISSN: 2173-5077</identifier><identifier>DOI: 10.1016/j.ciresp.2019.04.013</identifier><identifier>PMID: 31208728</identifier><language>eng ; spa</language><publisher>Spain</publisher><subject>Aged ; Female ; Gastric Bypass - adverse effects ; Gastric Bypass - methods ; Gastric Outlet Obstruction - etiology ; Gastric Outlet Obstruction - surgery ; Gastrointestinal Neoplasms - complications ; Humans ; Male ; Middle Aged ; Postoperative Complications ; Prospective Studies ; Stents ; Stomach - surgery</subject><ispartof>Cirugia española (English ed.), 2019-08, Vol.97 (7), p.385-390</ispartof><rights>Copyright © 2019 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31208728$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>López-Sánchez, Jaime</creatorcontrib><creatorcontrib>Marcos Martín, Ángel F</creatorcontrib><creatorcontrib>Abdel-Lah Fernández, Omar</creatorcontrib><creatorcontrib>Quiñones Sampedro, José E</creatorcontrib><creatorcontrib>Álvarez Delgado, Alberto</creatorcontrib><creatorcontrib>Esteban Velasco, María C</creatorcontrib><creatorcontrib>Muñoz-Bellvís, Luis</creatorcontrib><creatorcontrib>Parreño-Manchado, Felipe C</creatorcontrib><title>Stomach-partitioning gastrojejunostomy versus stent placement for the treatment of malignant gastric outlet obstruction</title><title>Cirugia española (English ed.)</title><addtitle>Cir Esp (Engl Ed)</addtitle><description>Gastric outlet obstruction is a complication of advanced tumors. It causes upper gastrointestinal obstruction, with progressive malnutrition and reduced survival. Currently, gastrojejunostomy or stent placement (SP) are feasible alternatives for the treatment of malignant gastric outlet obstruction. The aim of this study is to compare the efficacy and survival of both techniques.
Single-center observational and prospective study of 58 patients with gastric outlet obstruction who underwent surgical treatment with stomach-partitioning gastrojejunostomy (SPGJ) or SP with self-expanding intraluminal prostheses between 2007 and 2018.
Thirty patients underwent SPGJ and 28 SP. The mean age of the first group was significantly lower (69 vs. 78 years, respectively; P=.001). There were no statistically significant differences in terms of sex, perioperative risk or tumor etiology. Postoperative complications were non-significantly higher in the SPGJ group (P=.156). SP was associated with a shorter hospital stay (P=.02) and faster oral intake (P<.0001). However, SP had significantly higher rates of persistent and recurrent obstruction (P=.048 and .01, respectively), poorer energy targets (P=.009) and shorter survival (9.61 vs. 4.47 months; P=.008).
SPGJ presents greater luminal permeability, better oral intake and greater survival than SP. SP is preferable for non-surgical patients with a limited short-term prognosis.</description><subject>Aged</subject><subject>Female</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastric Bypass - methods</subject><subject>Gastric Outlet Obstruction - etiology</subject><subject>Gastric Outlet Obstruction - surgery</subject><subject>Gastrointestinal Neoplasms - complications</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Prospective Studies</subject><subject>Stents</subject><subject>Stomach - surgery</subject><issn>2173-5077</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kE9PwzAMxSMkxKaxb4BQj1xa4rRNsiOa-CdN4gCcqzR1tkxtU5IUtG9PN4Yv9rN_ek8yITdAM6DA7_eZth7DkDEKq4wWGYX8gswZiDwtqRAzsgxhT6fiJUhKr8gsB0alYHJOft6j65TepYPy0Ubrettvk60K0bs97sfehQk4JN_owxiSELGPydAqjd1xMs4ncYdJ9KjiaeNM0qnWbns1iZOP1YkbY4vTrZ7kqI8p1-TSqDbg8twX5PPp8WP9km7enl_XD5t0YAAx5StZ1KUUomAlN7zIDWsa4KDyGgqljaCy4Wg4gimL0ghAoRkYRqnhUrM6X5C7P9_Bu68RQ6w6GzS2rerRjaFirGASVlLQCb09o2PdYVMN3nbKH6r_Z-W_DRpwCA</recordid><startdate>201908</startdate><enddate>201908</enddate><creator>López-Sánchez, Jaime</creator><creator>Marcos Martín, Ángel F</creator><creator>Abdel-Lah Fernández, Omar</creator><creator>Quiñones Sampedro, José E</creator><creator>Álvarez Delgado, Alberto</creator><creator>Esteban Velasco, María C</creator><creator>Muñoz-Bellvís, Luis</creator><creator>Parreño-Manchado, Felipe C</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201908</creationdate><title>Stomach-partitioning gastrojejunostomy versus stent placement for the treatment of malignant gastric outlet obstruction</title><author>López-Sánchez, Jaime ; Marcos Martín, Ángel F ; Abdel-Lah Fernández, Omar ; Quiñones Sampedro, José E ; Álvarez Delgado, Alberto ; Esteban Velasco, María C ; Muñoz-Bellvís, Luis ; Parreño-Manchado, Felipe C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-6984b58774256f643f2dd161a3b14acf708d6ef6e1f545f71e7c21f200f68c2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Female</topic><topic>Gastric Bypass - adverse effects</topic><topic>Gastric Bypass - methods</topic><topic>Gastric Outlet Obstruction - etiology</topic><topic>Gastric Outlet Obstruction - surgery</topic><topic>Gastrointestinal Neoplasms - complications</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Prospective Studies</topic><topic>Stents</topic><topic>Stomach - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>López-Sánchez, Jaime</creatorcontrib><creatorcontrib>Marcos Martín, Ángel F</creatorcontrib><creatorcontrib>Abdel-Lah Fernández, Omar</creatorcontrib><creatorcontrib>Quiñones Sampedro, José E</creatorcontrib><creatorcontrib>Álvarez Delgado, Alberto</creatorcontrib><creatorcontrib>Esteban Velasco, María C</creatorcontrib><creatorcontrib>Muñoz-Bellvís, Luis</creatorcontrib><creatorcontrib>Parreño-Manchado, Felipe C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Cirugia española (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>López-Sánchez, Jaime</au><au>Marcos Martín, Ángel F</au><au>Abdel-Lah Fernández, Omar</au><au>Quiñones Sampedro, José E</au><au>Álvarez Delgado, Alberto</au><au>Esteban Velasco, María C</au><au>Muñoz-Bellvís, Luis</au><au>Parreño-Manchado, Felipe C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stomach-partitioning gastrojejunostomy versus stent placement for the treatment of malignant gastric outlet obstruction</atitle><jtitle>Cirugia española (English ed.)</jtitle><addtitle>Cir Esp (Engl Ed)</addtitle><date>2019-08</date><risdate>2019</risdate><volume>97</volume><issue>7</issue><spage>385</spage><epage>390</epage><pages>385-390</pages><eissn>2173-5077</eissn><abstract>Gastric outlet obstruction is a complication of advanced tumors. It causes upper gastrointestinal obstruction, with progressive malnutrition and reduced survival. Currently, gastrojejunostomy or stent placement (SP) are feasible alternatives for the treatment of malignant gastric outlet obstruction. The aim of this study is to compare the efficacy and survival of both techniques.
Single-center observational and prospective study of 58 patients with gastric outlet obstruction who underwent surgical treatment with stomach-partitioning gastrojejunostomy (SPGJ) or SP with self-expanding intraluminal prostheses between 2007 and 2018.
Thirty patients underwent SPGJ and 28 SP. The mean age of the first group was significantly lower (69 vs. 78 years, respectively; P=.001). There were no statistically significant differences in terms of sex, perioperative risk or tumor etiology. Postoperative complications were non-significantly higher in the SPGJ group (P=.156). SP was associated with a shorter hospital stay (P=.02) and faster oral intake (P<.0001). However, SP had significantly higher rates of persistent and recurrent obstruction (P=.048 and .01, respectively), poorer energy targets (P=.009) and shorter survival (9.61 vs. 4.47 months; P=.008).
SPGJ presents greater luminal permeability, better oral intake and greater survival than SP. SP is preferable for non-surgical patients with a limited short-term prognosis.</abstract><cop>Spain</cop><pmid>31208728</pmid><doi>10.1016/j.ciresp.2019.04.013</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Female Gastric Bypass - adverse effects Gastric Bypass - methods Gastric Outlet Obstruction - etiology Gastric Outlet Obstruction - surgery Gastrointestinal Neoplasms - complications Humans Male Middle Aged Postoperative Complications Prospective Studies Stents Stomach - surgery |
| title | Stomach-partitioning gastrojejunostomy versus stent placement for the treatment of malignant gastric outlet obstruction |
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