Covered Stent Placement in Patients with Recurrent Cancer after a Billroth I Reconstruction

Zheng Qiang Yang, Ho Young Song, Jin Hyoung Kim, Ji Hoon Shin, Tae Won Kim, Jeong Hwan Yook, Byung Sik Kim

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Purpose: To assess the technical feasibility and clinical effectiveness of covered stent placement in patients with recurrent malignant obstructions after Billroth I reconstruction. Materials and Methods: From June 1997 to November 2005, 16 patients underwent covered stent placement for recurrent gastric cancer after Billroth I reconstruction. A total of 19 covered stents were used, including 14 dual stents and five fully covered stents, as available. Results: Stent placement was technically successful in all patients, with 13 of 16 patients (81%) showing improvement of symptoms. Stent migration occurred in one patient, tumor ingrowth in one, and stent collapse and/or bowel perforation in one. Nine patients (56%) had concomitant (n = 7) or subsequent (n = 2) biliary obstruction. One patient was lost to follow-up. The remaining 15 patients died 5-628 days (median, 52 days; mean, 120 days) after stent placement due to progression of disease or pneumonia. Conclusions: Placement of covered metallic stents is feasible and effective in patients with recurrent malignant obstruction after Billroth I reconstruction.

Original languageEnglish (US)
Pages (from-to)1533-1537
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume18
Issue number12
DOIs
StatePublished - Dec 1 2007
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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