Malignant gastrointestinal obstruction: endoscopic stenting versus surgical palliation

Espinel, Jesús; Sanz, O.; Vivas, Santiago; Jorquera, Francisco; Muñoz, Fernándo; Olcoz, J.L.; Pinedo, Eugenia

doi:10.1007/s00464-005-0354-8

Cited by 79 publications

(47 citation statements)

References 18 publications

(16 reference statements)

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“…In total, 13 studies met the criteria for inclusion in the review [2][3][4][11][12][13][14][15][16][17][18][19][20]. These included 10 retrospective cohort comparison studies, two randomised controlled trials (RCTs) and one prospective cohort comparison study ( Table 1).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of methods to palliate malignant gastric outlet obstruction

et al. 2009

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This review demonstrates improved clinical outcomes with ES over OGJ for patients with malignant GOO. However, there is insufficient data to adequately compare ES with LGJ, which is the current standard for operative management. As these conclusions are based on observational studies only, future large well-designed randomised controlled trials (RCTs) would be required to ensure the estimates of the relative efficacy of these interventions are valid.

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Section: Resultsmentioning

confidence: 99%

A systematic review of methods to palliate malignant gastric outlet obstruction

et al. 2009

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“…The characteristics of the studies included in our metaanalysis are listed in Table 1. The demographics of patients who had undergone ES were matched with those of patients who had undergone GE with respect to age, 8,11-16 sex, 8,12-16 disease, [9][10][11][12][13][14][15][16] American Society of Anesthesiologists class, 8,10,11,14 and the presence of a double stricture (biliary and gastroduodenal). 14,16 Clinical success Seven studies 8,[11][12][13][14][15][16] reported clinical success (Fig.…”

Section: Resultsmentioning

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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“…Endoscopic stent placement is associated with a shorter hospital stay, trend towards a lower periprocedural mortality rate, early resumption of oral intake and lower costs in patients with malignant gastric outlet obstruction compared with surgical treatment28 30, 33, 34, 35, 36, 37, at the expense of a greater need for reintervention owing to stent occlusion by food impaction, stent migration or tumour ingrowth27 33, 38.…”

Section: Discussionmentioning

confidence: 99%

Multicentre observational study of quality of life after surgical palliation of malignant gastric outlet obstruction for gastric cancer

Fujitani¹,

Ando

Sakamaki

et al. 2017

BJS Open

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BackgroundQuality of life (QoL) is a key component in decision‐making for surgical palliation, but QoL data in association with surgical palliation in advanced gastric cancer are scarce. The aim of this multicentre observational study was to examine the impact of surgical palliation on QoL in advanced gastric cancer.MethodsThe study included patients with gastric outlet obstruction caused by incurable advanced primary gastric cancer who had no oral intake or liquid intake only. Patients underwent palliative distal/total gastrectomy or bypass surgery at the physician's discretion. The primary endpoint was change in QoL assessed at baseline, 14 days, 1 month and 3 months following surgical palliation by means of the EuroQoL Five Dimensions (EQ‐5D™) questionnaire and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire gastric cancer module (QLQ‐STO22). Secondary endpoints were postoperative improvement in oral intake and surgical complications.ResultsSome 104 patients (23 distal gastrectomy, 9 total gastrectomy, 70 gastrojejunostomy, 2 exploratory laparotomy) were enrolled from 35 institutions. The mean EQ‐5D™ utility index scores remained consistent, with a baseline score of 0·74 and the change from baseline within ± 0·05. Gastric‐specific symptoms showed statistically significant improvement from baseline. The majority of patients were able to eat solid food 2 weeks after surgery and tolerated it thereafter. The rate of overall morbidity of grade III or more according to the Clavien–Dindo classification was 9·6 per cent (10 patients) and the 30‐day postoperative mortality rate was 1·9 per cent (2 patients).ConclusionIn patients with gastric outlet obstruction caused by advanced gastric cancer, surgical palliation maintained QoL while improving solid food intake, with acceptable morbidity for at least the first 3 months after surgery. Registration number 000023494 (UMIN Clinical Trials Registry).

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Malignant gastrointestinal obstruction: endoscopic stenting versus surgical palliation

Cited by 79 publications

References 18 publications

A systematic review of methods to palliate malignant gastric outlet obstruction

A systematic review of methods to palliate malignant gastric outlet obstruction

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

Multicentre observational study of quality of life after surgical palliation of malignant gastric outlet obstruction for gastric cancer

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