Year 2020 / Volume 112 / Number 9
Original
Endoscopic stenting for gastroduodenal outlet obstruction of a malignant origin, real life experience in a single center

712-715

DOI: 10.17235/reed.2020.6600/2019

Luis Alcalá-González, Miquel Masachs Perecaula, Joan Dot Bach, Monder Abu-Suboh Abadia, Jordi Armengol Bertroli, Mario José Pascasio-Hernández, Anna Benages Curell, María Dolores Castillo Cejas, Marc Pigrau Pastor, Denisse Sihuay Diburga, Jorge Guevara Cubas, Luz María Castro-Reyes, César Jiménez Hernández, Stephanie Tasayco Huaman, José Ramón Armengol Miró,

Abstract
Aim: to evaluate the safety and effectiveness of self-expandable metal stent placement for malignant gastric outlet obstruction (GOO). Methods: a retrospective, analytic cohort study at a single, tertiary-care center. Results: thirty-six patients that underwent stent placement for GOO of malignant origin were identified during the study period. Technical success was achieved in 36 (100 %) patients and clinical success was achieved in 31 patients (86.1 %). Before the procedure, 17 (54.8 %) patients had a gastric outlet obstruction score (GOOSS) of 0, which is a complete inability of oral intake. Twenty-three patients were alive 30 days after the procedure, two (8.6 %) patients had a GOOSS of 1, ten (43.3 %) had a GOOSS of 2 and eleven (47.9 %) had a GOOSS of 3. Abdominal pain was present in all 31 patients before the procedure and only seven (22.6 %) patients continued with abdominal pain 24 hours after the procedure. During follow-up, ten (30.3 %) patients developed complications related to the stents and none of them was fatal. Additional therapy due to partial occlusion of the stent was necessary in three patients. The stents functional duration had a median of 72 days (IQR 25-75 15-105 days) and was closely related to overall survival. Conclusion: palliative stenting for gastroduodenal obstruction is a safe, feasible and effective therapy to treat patients with malignant gastric outlet obstruction.
Share Button
New comment
Comments
No comments for this article
Citation tools
Alcalá-González L, Masachs Perecaula M, Dot Bach J, Abu-Suboh Abadia M, Armengol Bertroli J, Pascasio-Hernández M, et all. Endoscopic stenting for gastroduodenal outlet obstruction of a malignant origin, real life experience in a single center. 6600/2019


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1303 visits.
This article has been downloaded 168 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 30/08/2019

Accepted: 16/01/2020

Online First: 04/06/2020

Published: 10/09/2020

Article revision time: 135 days

Article Online First time: 279 days

Article editing time: 377 days


Share
This article has been rated by 2 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology