Endoscopic stenting in palliative management of malignant antro-pyloric strictures

Between January 2001 and June 2006, 16 patients were referred for treatment to our Department with diagnosis of malignant stricture of the antro-pyloric tract presenting at an advanced unresectable stage (peritoneal carcinomatosis, distant metastases). In all cases, a covered self-expanding metallic stent was passed through the stricture. Endoscopically placed metal stents represent a minimally invasive and well-tolerated procedure which avoids patient discomfort related to general anesthesia, naso-gastric tube and laparotomy. Furthermore, the use of SEMS has been associated with significant advantages in terms of restoration of oral intake, operative time and hospital stay.