Jul 9, 2012 - Background/Aims: To asses the usefulness of flexible metallic stents in the palliation of malignant obstruction of gastric outlet and duodenum.
Self-Expandable Metallic Stent Placement in the Palliative Treatment of Malignant Obstruction of Gastric Outlet and Duodenum Erkan Çaglar and Ahmet Dobrucali Department of Gastroenterology, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey
Background/Aims: To asses the usefulness of flexible metallic stents in the palliation of malignant obstruction of gastric outlet and duodenum. Methods: Retrospective review was performed between January 2006 and December 2011 in 30 patients. Thirty consecutive patients with obstruction of the gastric outlet underwent palliative treatment with self-expandable flexible metallic stents. Complications and clinical outcomes were assessed. Results: Twenty-four patients had advanced gastric carcinoma at the antrum and/or pylorus, four patients had obstruction at the pylorus due to pancreas tumours and one patient had duodedum and one patient had gall bladder tumour. Symptoms improved in 82.7% of the patients after the procedure. The improvement in ability to eat using the score system was statistically significant (p