“…Tumor ingrowth occurred in 14 (26.4%) patients at a mean of 78.4 d in our study. Overall recurrent stenosis rates of 8%-46% at an interval of 2-21 wk (mean, 7.5 wk) have been reported in other studies [14,15,[19][20][21][22][23][24] . It is difficult to compare our results with results of other studies because other reports included patients with a variety of cancers.…”
AIM:To ascertain clinical outcome and complications o f s e l f-e x p a n d a b l e m e t a l s t e n t s fo r e n d o s c o p i c palliation of patients with malignant obstruction of the gastrointestinal (GI) tract.
“…Tumor ingrowth occurred in 14 (26.4%) patients at a mean of 78.4 d in our study. Overall recurrent stenosis rates of 8%-46% at an interval of 2-21 wk (mean, 7.5 wk) have been reported in other studies [14,15,[19][20][21][22][23][24] . It is difficult to compare our results with results of other studies because other reports included patients with a variety of cancers.…”
AIM:To ascertain clinical outcome and complications o f s e l f-e x p a n d a b l e m e t a l s t e n t s fo r e n d o s c o p i c palliation of patients with malignant obstruction of the gastrointestinal (GI) tract.
“…Although the experience is still early and most series are small, the rate of success for the placements of gastroduodenal stents has been very good. In some series, the technical success for stent deployment has been reported to be as high as 100% [3,15,19]. The largest series [20] reports a 93.5% success rate with the placement of 31 stents in 29 patients.…”
Enteral stenting is effective in relieving GI obstruction, but it carries a risk for perforation. It should be considered an option to gastroenteric bypass, colostomy, or resection in debilitated patients.
“…Median survival rates in other studies ranged from 7 to 141 days after stent placement and from 70 to 249 days after GJJ [1,4,8,15,16,19,20,[25][26][27]. Previous studies have suggested that survival rates were higher after GJJ than after stent placement.…”
These findings suggest that stent placement is associated with better short-term outcomes and GJJ with better long-term outcomes. A large randomized controlled trial is however needed to systematically compare stent placement with GJJ with regard to medical effects, quality of life and costs.
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