Palliation of Malignant Gastric Outlet Obstruction with Self-Expanding Metal Stents
Abstract BACKGROUND AND STUDY AIMS: Self-expanding metal stents have long been used in the management of patients with malignant eosphageal and malignant biliary obstruction. The aim of the present study was to report on the palliation of malignant gastric outlet obstruction using self-expanding end...
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| Veröffentlicht in: | Endoscopy 1996-02, Vol.28 (2), p.225-228 |
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| creator | Feretis, C. Benakis, P. Dimopoulos, C. Georgopoulos, K. Milas, F. Manouras, A. Apostolidis, N. |
| description | Abstract
BACKGROUND AND STUDY AIMS: Self-expanding metal stents have long been used in the management of patients with malignant eosphageal and malignant biliary obstruction. The aim of the present study was to report on the palliation of malignant gastric outlet obstruction using self-expanding endoprostheses.
PATIENTS AND METHODS: Between March 1993 and December 1994, 12 patients (eight women, four men, mean age 64 years) suffering from malignant gastric outlet obstruction due to recurrent gastric carcinoma (seven patients) and pancreatic head carcinoma (five patients) presented with an inability to eat and intractable vomiting. The patients were managed with peroral insertion of self-expanding metal stents.
RESULTS: Peroral introduction of the stent with the aid of a stabilizing overtube was successful in all patients, with the stent being supported as it was being advanced through the stenosis. Proper release of the stent into the stenotic area was achieved in all cases, relieving the intractable vomiting. The procedure was accomplished without any complications. All patients were able to eat semisolid food four days after the stent insertion. Apart from an asymptomatic partial stent occlusion in one patient, no other complications were seen during the short-term follow-up one, two, and three months after discharge.
CONCLUSIONS: These preliminary results suggest that self-expanding stents can effectively relieve malignant gastric outlet obstruction. |
| doi_str_mv | 10.1055/s-2007-1005432 |
| format | Article |
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BACKGROUND AND STUDY AIMS: Self-expanding metal stents have long been used in the management of patients with malignant eosphageal and malignant biliary obstruction. The aim of the present study was to report on the palliation of malignant gastric outlet obstruction using self-expanding endoprostheses.
PATIENTS AND METHODS: Between March 1993 and December 1994, 12 patients (eight women, four men, mean age 64 years) suffering from malignant gastric outlet obstruction due to recurrent gastric carcinoma (seven patients) and pancreatic head carcinoma (five patients) presented with an inability to eat and intractable vomiting. The patients were managed with peroral insertion of self-expanding metal stents.
RESULTS: Peroral introduction of the stent with the aid of a stabilizing overtube was successful in all patients, with the stent being supported as it was being advanced through the stenosis. Proper release of the stent into the stenotic area was achieved in all cases, relieving the intractable vomiting. The procedure was accomplished without any complications. All patients were able to eat semisolid food four days after the stent insertion. Apart from an asymptomatic partial stent occlusion in one patient, no other complications were seen during the short-term follow-up one, two, and three months after discharge.
CONCLUSIONS: These preliminary results suggest that self-expanding stents can effectively relieve malignant gastric outlet obstruction.</description><identifier>ISSN: 0013-726X</identifier><identifier>EISSN: 1438-8812</identifier><identifier>DOI: 10.1055/s-2007-1005432</identifier><identifier>PMID: 8739737</identifier><identifier>CODEN: ENDCAM</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Endoscopy - methods ; Female ; Follow-Up Studies ; Gastric Outlet Obstruction - diagnostic imaging ; Gastric Outlet Obstruction - etiology ; Gastric Outlet Obstruction - surgery ; Gastroscopy - methods ; Humans ; Male ; Medical sciences ; Metals ; Middle Aged ; Original Article ; Palliative Care - methods ; Pancreatic Neoplasms - complications ; Pancreatic Neoplasms - diagnostic imaging ; Radiography ; Retrospective Studies ; Stents ; Stomach Neoplasms - complications ; Stomach Neoplasms - diagnostic imaging ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>Endoscopy, 1996-02, Vol.28 (2), p.225-228</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-45336e2c711fcbe9d5705c01f2ab5d5f9b0cfc30475749e92aee98cab1a5b0ac3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-1005432.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,780,784,3017,3018,27924,27925,54559</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3051193$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8739737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Feretis, C.</creatorcontrib><creatorcontrib>Benakis, P.</creatorcontrib><creatorcontrib>Dimopoulos, C.</creatorcontrib><creatorcontrib>Georgopoulos, K.</creatorcontrib><creatorcontrib>Milas, F.</creatorcontrib><creatorcontrib>Manouras, A.</creatorcontrib><creatorcontrib>Apostolidis, N.</creatorcontrib><title>Palliation of Malignant Gastric Outlet Obstruction with Self-Expanding Metal Stents</title><title>Endoscopy</title><addtitle>Endoscopy</addtitle><description>Abstract
BACKGROUND AND STUDY AIMS: Self-expanding metal stents have long been used in the management of patients with malignant eosphageal and malignant biliary obstruction. The aim of the present study was to report on the palliation of malignant gastric outlet obstruction using self-expanding endoprostheses.
PATIENTS AND METHODS: Between March 1993 and December 1994, 12 patients (eight women, four men, mean age 64 years) suffering from malignant gastric outlet obstruction due to recurrent gastric carcinoma (seven patients) and pancreatic head carcinoma (five patients) presented with an inability to eat and intractable vomiting. The patients were managed with peroral insertion of self-expanding metal stents.
RESULTS: Peroral introduction of the stent with the aid of a stabilizing overtube was successful in all patients, with the stent being supported as it was being advanced through the stenosis. Proper release of the stent into the stenotic area was achieved in all cases, relieving the intractable vomiting. The procedure was accomplished without any complications. All patients were able to eat semisolid food four days after the stent insertion. Apart from an asymptomatic partial stent occlusion in one patient, no other complications were seen during the short-term follow-up one, two, and three months after discharge.
CONCLUSIONS: These preliminary results suggest that self-expanding stents can effectively relieve malignant gastric outlet obstruction.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastric Outlet Obstruction - diagnostic imaging</subject><subject>Gastric Outlet Obstruction - etiology</subject><subject>Gastric Outlet Obstruction - surgery</subject><subject>Gastroscopy - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metals</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Palliative Care - methods</subject><subject>Pancreatic Neoplasms - complications</subject><subject>Pancreatic Neoplasms - diagnostic imaging</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Stomach Neoplasms - complications</subject><subject>Stomach Neoplasms - diagnostic imaging</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0013-726X</issn><issn>1438-8812</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LxDAQhoMouq5evQk9iLdo0jSmPYqsH6CssArewjQ70Ug2XZsU9d_busWbcxmGeWZeeAg54uyMMynPI80ZU5QzJguRb5EJL0RJy5Ln22TCGBdU5Rcve2Q_xvdh7LldslsqUSmhJmTxCN47SK4JWWOzB_DuNUBI2Q3E1DqTzbvkMWXzuh8788t9uvSWLdBbOvtaQ1i68Jo9YAKfLRKGFA_IjgUf8XDsU_J8PXu6uqX385u7q8t7aoRUiRZSiAvMjeLcmhqrpVRMGsZtDrVcSlvVzFgjWKGkKiqsckCsSgM1B1kzMGJKTjd_123z0WFMeuWiQe8hYNNFrcqciaGm5GwDmraJsUWr161bQfutOdODRR31YFGPFvuD4_FzV69w-YeP2vr9ybiHaMDbFoJx8Q8TTHJeDbl0g6U3hyvU703Xht7If7E_d1KIQw</recordid><startdate>19960201</startdate><enddate>19960201</enddate><creator>Feretis, C.</creator><creator>Benakis, P.</creator><creator>Dimopoulos, C.</creator><creator>Georgopoulos, K.</creator><creator>Milas, F.</creator><creator>Manouras, A.</creator><creator>Apostolidis, N.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960201</creationdate><title>Palliation of Malignant Gastric Outlet Obstruction with Self-Expanding Metal Stents</title><author>Feretis, C. ; Benakis, P. ; Dimopoulos, C. ; Georgopoulos, K. ; Milas, F. ; Manouras, A. ; Apostolidis, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-45336e2c711fcbe9d5705c01f2ab5d5f9b0cfc30475749e92aee98cab1a5b0ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastric Outlet Obstruction - diagnostic imaging</topic><topic>Gastric Outlet Obstruction - etiology</topic><topic>Gastric Outlet Obstruction - surgery</topic><topic>Gastroscopy - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metals</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Palliative Care - methods</topic><topic>Pancreatic Neoplasms - complications</topic><topic>Pancreatic Neoplasms - diagnostic imaging</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Stomach Neoplasms - complications</topic><topic>Stomach Neoplasms - diagnostic imaging</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Feretis, C.</creatorcontrib><creatorcontrib>Benakis, P.</creatorcontrib><creatorcontrib>Dimopoulos, C.</creatorcontrib><creatorcontrib>Georgopoulos, K.</creatorcontrib><creatorcontrib>Milas, F.</creatorcontrib><creatorcontrib>Manouras, A.</creatorcontrib><creatorcontrib>Apostolidis, N.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Feretis, C.</au><au>Benakis, P.</au><au>Dimopoulos, C.</au><au>Georgopoulos, K.</au><au>Milas, F.</au><au>Manouras, A.</au><au>Apostolidis, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Palliation of Malignant Gastric Outlet Obstruction with Self-Expanding Metal Stents</atitle><jtitle>Endoscopy</jtitle><addtitle>Endoscopy</addtitle><date>1996-02-01</date><risdate>1996</risdate><volume>28</volume><issue>2</issue><spage>225</spage><epage>228</epage><pages>225-228</pages><issn>0013-726X</issn><eissn>1438-8812</eissn><coden>ENDCAM</coden><abstract>Abstract
BACKGROUND AND STUDY AIMS: Self-expanding metal stents have long been used in the management of patients with malignant eosphageal and malignant biliary obstruction. The aim of the present study was to report on the palliation of malignant gastric outlet obstruction using self-expanding endoprostheses.
PATIENTS AND METHODS: Between March 1993 and December 1994, 12 patients (eight women, four men, mean age 64 years) suffering from malignant gastric outlet obstruction due to recurrent gastric carcinoma (seven patients) and pancreatic head carcinoma (five patients) presented with an inability to eat and intractable vomiting. The patients were managed with peroral insertion of self-expanding metal stents.
RESULTS: Peroral introduction of the stent with the aid of a stabilizing overtube was successful in all patients, with the stent being supported as it was being advanced through the stenosis. Proper release of the stent into the stenotic area was achieved in all cases, relieving the intractable vomiting. The procedure was accomplished without any complications. All patients were able to eat semisolid food four days after the stent insertion. Apart from an asymptomatic partial stent occlusion in one patient, no other complications were seen during the short-term follow-up one, two, and three months after discharge.
CONCLUSIONS: These preliminary results suggest that self-expanding stents can effectively relieve malignant gastric outlet obstruction.</abstract><cop>Stuttgart</cop><cop>New York, NY</cop><pub>Thieme</pub><pmid>8739737</pmid><doi>10.1055/s-2007-1005432</doi><tpages>4</tpages></addata></record> |
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| ispartof | Endoscopy, 1996-02, Vol.28 (2), p.225-228 |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Aged Aged, 80 and over Biological and medical sciences Endoscopy - methods Female Follow-Up Studies Gastric Outlet Obstruction - diagnostic imaging Gastric Outlet Obstruction - etiology Gastric Outlet Obstruction - surgery Gastroscopy - methods Humans Male Medical sciences Metals Middle Aged Original Article Palliative Care - methods Pancreatic Neoplasms - complications Pancreatic Neoplasms - diagnostic imaging Radiography Retrospective Studies Stents Stomach Neoplasms - complications Stomach Neoplasms - diagnostic imaging Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Palliation of Malignant Gastric Outlet Obstruction with Self-Expanding Metal Stents |
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