4749 Endoscopic versus surgical palliation of malignant gastric outlet obstruction: a retrospective analysis.

Webb, Bradley M.; Baron, Todd H.; Yacavone, Robert F.; Yates, Munford R.

doi:10.1016/s0016-5107(00)14596-1

Cited by 10 publications

(6 citation statements)

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“…They concluded that stent placement median cost was $9921 (range, $2439 to $48,889) and that of surgical bypass was $28,173 (range, $2439 to $139,146). Similar results are available from another study by Webb et al [41], who retrospectively compared 10 patients who underwent stent and surgical bypass for malignant gastric outlet obstruction even though the absolute cost for each of the procedures was lower compared with the study by Yim et al [33•]. …”

Section: Cost-effectivenesssupporting

confidence: 70%

Stents in the small intestine

Singh

Gagneja

2002

Curr Gastroenterol Rep

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Stents represent an exciting development in the field of gastroenterology. Their use to maintain luminal patency in the pancreatobiliary system has been well established. Stents have also found a place in maintaining the patency of the esophagus. Recent developments have led to an increasing role for their use to decompress both the small and large intestine. In the small intestine they are often placed to palliate proximal obstruction in the duodenum or the very proximal jejunum resulting from various malignancies. Self-expandable metal stents are an attractive alternative to surgery, especially in patients with compromised performance status, and can be done safely as outpatient procedures. However, one should be aware of the associated risks and complications. With a proper understanding of the principles involved in stent placement one can safely undertake this procedure.

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Section: Cost-effectivenesssupporting

confidence: 70%

Stents in the small intestine

Singh

Gagneja

2002

Curr Gastroenterol Rep

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“…Moreover, retrospective studies in patients with stent placement indicate lower cost and shorter hospital stay, compared with those with surgical bypass. [1][2][3] A previous study by our group revealed greater improvement in the performance score with this procedure than with surgical bypass. 4 A recent study showed that enteral stenting offered not only shorter times to oral intake and for hospital stay but also less frequent complications, compared with open and laparoscopic gastrojejunostomy.…”

Section: Introductionmentioning

confidence: 59%

Self-expandable metallic stent placement for palliation in gastric outlet obstructions caused by gastric cancer: a comparison with surgical gastrojejunostomy

et al. 2005

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“…Over the past 10 years, various series have demonstrated the efficiency and safety of endoscopic treatment for these patients though the placement of metallic stents [3,5,6,11,14]. However, very few studies have yet compared the results obtained using endoscopic palliative treatment with those achieved using surgical treatment [2,[7][8][9][10][18][19][20]. Among these few studies, only two have been controlled, but with very few patients included [7,8].…”

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confidence: 99%