Gastric and Duodenal Stents: Follow-Up and Complications

Pabón, Isabel Teresa Pinto; Díaz, Laura Paúl; Adana, Juan Carlos Ruíz de; Herrero, J López

doi:10.1007/s002700001742

Cited by 59 publications

(29 citation statements)

References 22 publications

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“…Since endoscopic self-expanding metal stenting was fi rst adopted by Topazian et al 1 for palliation of obstructing gastric cancer in 1992, many studies have demonstrated the safety and effi cacy of endoscopic stenting (ES) for palliation in patients with malignant gastrointestinal obstruction. [2][3][4][5][6][7] However, the feasibility and advantages of ES have not been thoroughly evaluated thus far. Therefore, we attempted to perform a meta-analysis to elucidate the current status of ES by comparison with traditional surgical GE.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic stenting versus surgical gastroenterostomy for palliation of malignant gastroduodenal obstruction: a meta-analysis

Hosono¹,

Oda²,

Arimoto³

et al. 2007

J Gastroenterol

145

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Section: Introductionmentioning

confidence: 99%

Endoscopic stenting versus surgical gastroenterostomy for palliation of malignant gastroduodenal obstruction: a meta-analysis

Hosono¹,

Oda²,

Arimoto³

et al. 2007

J Gastroenterol

145

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“…21 This technical success rate after SEMS placement compares favorably with other published series which range from 76 to 100%, with the majority of studies concluding that SEMS are safe and effective for MGO. 16,19,22,23 In the larger, more recent series, technical success rates of 95-100% have been achieved. 10,18,24 Adler and Baron 14 demonstrated a technical success rate of 100% in a case series of 36 patients with duodenal strictures using the ultraflex wall stent.…”

Section: Discussionmentioning

confidence: 88%

“…Some authors have recommended stent placement over surgical palliation because stenting has a shorter procedure time, and stented patients have a shorter hospital stay and time to oral intake. [14][15][16] To date, only three retrospective, comparative studies of SEMS versus surgical bypass exist, [17][18][19] and only one small, randomized controlled trial has been performed. 20 However, SEMS frequently occlude secondary to tumor granulation tissue or ingrowth at the ends.…”

Section: Discussionmentioning

confidence: 99%

Palliative Stenting for Late Malignant Gastric Outlet Obstruction

Kiely

Dua

Graewin

et al. 2007

Journal of Gastrointestinal Surgery

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Malignant gastric outlet obstruction (MGO) is a late complication of pancreatobiliary and gastric cancers.Although surgical gastrojejunostomy provides good palliation, many of these patients may be nonoperative candidates or underwent previous extensive resection such as a Whipple procedure. Recently, endoscopically placed self-expanding metallic stents (SEMS) have been used to palliate MGO. The aim of this study was to evaluate the efficacy of SEMS for palliation of late MGO. Medical records of patients with endoscopic placement of SEMS for palliation of MGO were reviewed. Results showed that 30 patients with MGO had SEMS placed for late gastroduodenal (n=20) or jejunal (n=10) obstruction. Twenty-one patients (70%) had previous surgery. Return to oral feeding was observed in 90% of patients who presented with recurrent obstruction after prior bypass surgery and in 88% of nonoperative patients in whom SEMS were placed as the primary therapy for obstruction. No major complications were observed, and median survival after SEMS was 4.1 months (0.1 to 10.5 months). SEMS also did not interfere with biliary drainage. In conclusion, endoscopically placed SEMS are safe and provide good palliation for late malignant gastroduodenal and jejunal strictures and are an excellent complement to recurrent obstruction after surgical gastrojejunostomy.

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“…In the new generation of oesophageal stents, that problem was eliminated by silicon-covered stents [3]. However, the effectiveness of self-expanding stents was confirmed in long-term clinical examinations [4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 97%