Metallic stent placement in the palliative treatment of malignant gastric outlet obstructions: Primary gastric carcinoma versus pancreatic carcinoma

Hyoung Kim Jin, Ho Young Song, Hoon Shin Ji, Tao Hu Hong, Koo Lee Sung, Hwoon Yong Jung, Hwan Yook Jeong

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

OBJECTIVE. The objective of our study was to compare the clinical effectiveness of metallic stent placement for relief of gastric outlet obstruction caused by gastric carcinoma and pancreatic carcinoma. MATERIALS AND METHODS. A total of 207 patients with gastric outlet obstruction caused by inoperable gastric carcinoma (n = 147) or pancreatic carcinoma (n = 60) underwent metallic stent placement. RESULTS. Technical success of metallic stent placement was achieved in all patients. Clinical success was achieved in 97% and 93% of patients with gastric and pancreatic carcinoma, respectively (p = 0.286). The overall complication rate did not differ significantly between the gastric (29%) and pancreatic (23%) carcinoma groups (p = 0.441). Stent collapse was significantly more frequent in the gastric carcinoma group (11%) than the pancreatic carcinoma group (2%) (p = 0.027), whereas serious complications, including gastrointestinal bleeding and intestinal perforation, occurred more frequently in the pancreatic (7%) than the gastric (1%) carcinoma group (p = 0.026). The cumulative survival period was significantly longer in the gastric carcinoma (median, 153 days) than the pancreatic carcinoma (median, 90 days) group (p = 0.041), but cumulative stent patency did not differ significantly between the gastric carcinoma (median, 350 days) and pancreatic carcinoma (median, 385 days) groups (p = 0.415). CONCLUSION. Metallic stent placement was clinically effective in the palliative treatment of gastric outlet obstruction in patients with gastric and pancreatic carcinoma. The two groups differed significantly in the rates of stent collapse and serious complications and patient survival after stent placement.

Original languageEnglish (US)
Pages (from-to)241-247
Number of pages7
JournalAmerican Journal of Roentgenology
Volume193
Issue number1
DOIs
StatePublished - Jul 1 2009
Externally publishedYes

Keywords

  • Gastric carcinoma
  • Gastric outlet obstruction
  • Oncologic imaging
  • Pancreatic carcinoma
  • Stents

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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