Gastrointestinal stenting

Zollikofer, Ch. L.; Jost, R.; Schoch, E.; Decurtins, M

doi:10.1007/s003300050053

Cited by 64 publications

(57 citation statements)

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“…In some cases, stent placement in pericardial tumors can be useful but the necrosis of gastric wall tissue due to the mechanical damage of the metal stent often reduces the overall success rate of this approach. Furthermore, stent placement can support a non-functioning surgical gastroenterostomy in a minimally invasive way ( fi g. 1 ) and is sometimes very helpful after primary surgical intervention [23] . …”

Section: Indicationmentioning

confidence: 99%

Endoscopic Palliation and Nutritional Support in Advanced Gastric Cancer

Dormann

2004

Dig Dis

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Most of the patients with advanced gastric cancer have incurable disease at presentation and require palliative treatment to reduce symptoms as vomiting, nausea and inability to eat. Treatment options are palliative surgery and endoscopic techniques. Insertion of self-expanding metal stents is nowadays a well-established method of treating biliary and esophageal strictures and is also effective in gastric tumors. The indication and application technique are described in this review. In addition, enteral nutrition is indicated if the gastrointestinal tract functions but swallowing or mastication is compromised by disease or if it is needed to pass an obstructed area, especially in gastric tumor patients. This article reviews the enteral nutrition techniques and their clinical value for patients with advanced gastric cancer.

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Section: Indicationmentioning

confidence: 99%

Endoscopic Palliation and Nutritional Support in Advanced Gastric Cancer

Dormann

2004

Dig Dis

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“…Since then, endoscopic implantation of SEMS for malignant gastric outlet obstruction has been reported by several authors, but mainly in small series. A French multicenter study with 63 patients is one of the largest series [4,6,[21][22][23][24]. In that series, stent implantation was successful in 80-100% of the patients, with a procedure-related mortality rate of zero percent.…”

Section: Discussionmentioning

confidence: 99%

Treatment of malignant gastric outlet obstruction: endoscopic implantation of self-expanding metal stents versus gastric bypass surgery

et al. 2006

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Zusammenfassung. Grundlagen: Zur palliativen Therapie einer malignen Magenausgangsstenose wird bis heute meistens eine Gastroenterostomie angelegt. Dieser Eingriff hat aber eine signifikante Morbiditäts-und Mortalitätsrate und ist häufig mit einer Magenentleerungstörung assoziiert. Die endoskopische Stentimplantation zur symptomatischen Therapie einer malignen Magenausgangsstenose ist dagegen ein wenig invasiver Eingriff. In dieser Studie wird die endoskopische Stentimplantation mit der operativen Anlage einer Gastroenterostomie verglichen. Methodik: In dieser Studie werden 22 Patienten nach endoskopischer Stentimplantation, mit 17 Patienten nach Anlage einer Gastroenterostomie, zur symptomatischen Therapie einer malignen Magenausgangsstenose, verglichen. Die Patienten sind während des gleichen Zeitraumes behandelt worden. Ergebnisse: Die Obstruktionssymptomatik konnte bei allen 22 Patienten durch die endoskopische Stentimplantation gebessert werden (100%). Im Vergleich dazu kam es nur bei 11 von 17 Patienten zu einer Besserung der Obstruktionssymptomatik nach operativer Anlage einer Gastroenterostomie (64,5%). Die "Stentpatienten" hatten einen kürzeren Spitalsaufenthalt (4 Tage vs. 13 Tage), konnten früher oral ernährt werden (1 vs. 6 Tage), hatten geringere Spitalskosten (€ 2143 vs. € 6617) und keine eingriffsbedingte Mortalität (0/22 vs. 3/17). Die Unterschiede bezüglich Spitalsaufenthaltsdauer, Verbesserung der Obstruktionssymptomatik, Nahrungskarenz und Spitalskosten sind statistisch signifikant (p < 0,05). Schlussfolgerungen: Die endoskopische Stentimplantation zur palliativen Therapie der malignen Magenausgangsstenose ist hoch effizient, sehr sicher und kostengünstig. Sie sollte das Verfahren der Wahl zur Palliation einer malignen Magenausgangsstenose sein. Schlüsselwörter: Stent, Magenausgangsstenose, Palliation.Summary. Background: Palliative gastroenteric bypass surgery, the mainstay in the treatment of gastric outlet obstruction, has several disadvantages, including significant morbidity and mortality rates, and is frequently associated with delayed gastric emptying. Endoscopic stenting is reported to be an efficient and less invasive procedure for the symptomatic treatment of malignant GI tract obstruction. This study compares the outcomes of gastroenteric bypass surgery and endoscopic stenting.Methods: We retrospectively analyzed 22 patients who underwent palliative endoscopic stenting of malignant gastric outlet obstruction or malignant obstruction in the upper part of the jejunum and compared them with 17 patients treated with palliative gastric bypass surgery during the same period.Results: Obstructive symptoms improved in all 22 patients (100%) after endoscopic stenting compared to 11 of 17 patients (64.5%) after palliative gastric bypass surgery. The stent patients had a shorter hospital stay (4 days vs. 13 days), tolerated oral nutrition earlier (1 day vs. 6 days), had lower costs for hospital treatment (€ 2143 vs. € 6617) and had no procedure-related mortality after stent implantation (0/22 vs...

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“…10 Perforation can also be caused by steroids, chemotherapy, and radiation therapy 7 or by the sharp free ends of the metal wire mesh. [18][19][20] To avoid perforation we chose the bluntended Ultraflex stent in all but one patient with rectal obstruction. The Ultraflex stent with its high flexibility and blunt end was the most appropriate choice for the torturous and unfixed colon.…”

Section: Discussionmentioning

confidence: 99%

Self-expandable metallic stent placement as palliative treatment of obstructed colorectal carcinoma

Maetani

Tada

Ukita

et al. 2004

Journal of Gastroenterology

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Stent placement can be considered safe and effective palliation for unresectable colorectal cancer. With technical modification of an esophageal stent, this procedure is now feasible. Stent placement in palliation of unresectable colon cancer is an alternative to surgical treatment. The through-the-scope stent for the exclusive treatment of colorectal cancer is not available in Japan. This report describes the use of an esophageal stent and the technical modifications required for its success in the treatment of colorectal strictures. We describe various technical strategies for colorectal stent placement and report on the outcomes.

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Gastrointestinal stenting

Cited by 64 publications

References 0 publications

Endoscopic Palliation and Nutritional Support in Advanced Gastric Cancer

Endoscopic Palliation and Nutritional Support in Advanced Gastric Cancer

Treatment of malignant gastric outlet obstruction: endoscopic implantation of self-expanding metal stents versus gastric bypass surgery

Self-expandable metallic stent placement as palliative treatment of obstructed colorectal carcinoma

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