Malignant gastric outlet obstructions: Treatment with self-expandable metallic stents

Jin Hyoung Kim, Ho Young Song, Ji Hoon Shin

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Unresectable malignant gastric outlet obstruction (GOO) severely affects the quality of life, with complications that include nausea, vomiting, aspiration, pain, and malnutrition. Although palliative surgical procedures have been traditionally performed, they are associated with high morbidity and mortality rates. Placing self-expandable metallic stents is associated with higher clinical success rates, lower morbidity, shorter time from the procedure to starting oral intake, lower incidence of delayed gastric emptying, and a shorter hospital stay than palliative surgery. Fluoroscopic or endoscopic placement of either bare or covered self-expandable metallic stents is a safe, nonsurgical, palliative treatment option for unresectable malignant GOOs, with a high clinical success rate and a low rate of serious complications. Stent obstruction and migration are the most common complications, but most can be managed by interventional treatments. Although there have been substantial developments in stent design over the past decade, large prospective, randomized studies are required to determine the ideal stent for malignant GOOs.

Original languageEnglish (US)
Pages (from-to)S32-S38
JournalGut and Liver
Volume4
Issue numberSUPPL. 1
DOIs
StatePublished - Sep 2010
Externally publishedYes

Keywords

  • Endoscopy
  • Fluoroscopy
  • Malignant gastric outlet obstruction
  • Palliative treatment
  • Placement of a self-expandable metallic stent

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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