Gastroduodenal Outlet Obstruction and Palliative Self-Expandable Metal Stenting : A Dual-Centre Experience
Joint Authors
Ding, Nik S.
Devonshire, David
Alexander, Sina
Swan, Michael P.
Clarebrough, Emma
Wilson, Patrick
Hair, Christopher
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Self-expandable metal stents (SEMs) are increasingly being utilised instead of invasive surgery for the palliation of patients with malignant gastroduodenal outlet obstruction.
Aim.
To review two tertiary centres’ experience with placement of SEMs and clinical outcomes.
Methods.
Retrospective analysis of prospectively collected data over 12 years.
Results.
Ninety-four patients (mean age, 68; range 28–93 years) underwent enteral stenting during this period.
The primary tumour was gastric adenocarcinoma in 27 (29%) patients, pancreatic adenocarcinoma in 45 (48%), primary duodenal adenocarcinoma in 8 (9%), and cholangiocarcinoma and other metastatic cancers in 14 (16%).
A stent was successfully deployed in 95% of cases.
There was an improvement in gastric outlet obstruction score (GOOS) in 84 (90%) of patients with the ability to tolerate an enteral diet.
Median survival was 4.25 months (range 0–49) without any significant differences between types of primary malignancy.
Mean hospital stay was 3 days (range 1–20).
Reintervention rate for stent related complications was 5%.
Conclusion.
The successful deployment of enteral stents achieves excellent palliation often resulting in the prompt reintroduction of enteral diet and early hospital discharge with minimal complications and reintervention.
American Psychological Association (APA)
Ding, Nik S.& Alexander, Sina& Swan, Michael P.& Hair, Christopher& Wilson, Patrick& Clarebrough, Emma…[et al.]. 2013. Gastroduodenal Outlet Obstruction and Palliative Self-Expandable Metal Stenting : A Dual-Centre Experience. Journal of Oncology،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-451255
Modern Language Association (MLA)
Ding, Nik S.…[et al.]. Gastroduodenal Outlet Obstruction and Palliative Self-Expandable Metal Stenting : A Dual-Centre Experience. Journal of Oncology No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-451255
American Medical Association (AMA)
Ding, Nik S.& Alexander, Sina& Swan, Michael P.& Hair, Christopher& Wilson, Patrick& Clarebrough, Emma…[et al.]. Gastroduodenal Outlet Obstruction and Palliative Self-Expandable Metal Stenting : A Dual-Centre Experience. Journal of Oncology. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-451255
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-451255