Hepatocellular carcinoma complicated by gastroduodenal obstruction: Palliative treatment with metallic stent placement

Ye Jin Lee, Jin Hyoung Kim, Ho Young Song, Jung Hoon Park, Han Kyu Na, Pyeong Hwa Kim, Yong Fan

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Purpose: To evaluate the clinical effectiveness of self-expandable metallic stents in seven patients with malignant gastroduodenal obstruction caused by inoperable hepatocellular carcinoma (HCC). Methods: Seven patients with gastroduodenal obstruction caused by advanced HCC underwent metallic stent placement from 2003 to 2010. These patients had total dysphagia (n = 5) or were able to eat only liquids (n = 2) before stent placement. Patients had Eastern Cooperative Oncology Group performance scores of 2 or 3, and Child-Pugh classification B or C. Results: Stent placement was technically successful in all seven patients (100%) and clinically successful in six (86%). Five patients could eat a soft diet, and one patient tolerated regular diet after stent placement. Stent-related obstructive jaundice occurred in one patient. One patient had hematemesis 11 days after stent placement. Overall mean survival was 51 days (range, 10-119 days). Stent patency was preserved in six patients with clinical success until death. Conclusion: Placement of a covered self-expandable metallic stent may offer good palliation in patients with gastroduodenal obstruction due to advanced HCC.

Original languageEnglish (US)
Pages (from-to)1129-1135
Number of pages7
JournalCardiovascular and Interventional Radiology
Volume35
Issue number5
DOIs
StatePublished - Oct 1 2012
Externally publishedYes

Keywords

  • Gastrointestinal
  • Nonvascular interventions
  • Obstruction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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