Palliative endoscopic treatment of malignant gastric outlet obstruction by means of endoluminal self-extending metallic stents is a well-established procedure. Patients and Method Eighteen patients with diagnosis of advanced/unresectable malignant structures of the antro-pyloric CT were referred to our Department for palliation from January 2000 trough December 2003. In all 18 patients, a 10-centimeter long, endoscopically guided, self-expanding metal stent was inserted with the upper edge above the proximal tumor mass and the lower edge in the first duodenal portion. Gastro-emptying was assessed by clinical parameters and radiological findings. All patients were followed up for 6 months after procedure. Results Placement of the endoprostheses is was always successful. No intra-operative mortality as reported. Gastric emptying was satisfactory in 88.9% and 100% of patients after 8 and 15 days, respectively. The patient remained for 3.1 days. There were no complications related to delayed gastric emptying 6 months after surgery. Discussion Endoscopic palliation is a minimally invasive and well tolerated procedure. Future prospective studies are needed to assess the optimal cost-benefit ratio of endoscopic palliation compared to surgical terms for both post-operative and gastric complications.
ENDOLUMINAL SELF-EXPANDING METALLIC STENTS IN PATIENT WITH ADVANCED MALIGNANT STRICTURES OF THE ANTRO-PILORIC TRACT / Izzo, L; Caputo, M.; Costi, U.; Basso, L.; Sassayannis, P.; La Mazza, A.; Gabriele, R.; Biacchi, D.; Casullo, A.; Fiori, E.. - (2005), pp. 1-1. (Intervento presentato al convegno 6th IGCC International Gastric Cancer Congress tenutosi a Tokyo, Japan).
ENDOLUMINAL SELF-EXPANDING METALLIC STENTS IN PATIENT WITH ADVANCED MALIGNANT STRICTURES OF THE ANTRO-PILORIC TRACT.
Izzo L
;Costi U.;Basso L.;La Mazza A.;Gabriele R.;Biacchi D.;Fiori E.
2005
Abstract
Palliative endoscopic treatment of malignant gastric outlet obstruction by means of endoluminal self-extending metallic stents is a well-established procedure. Patients and Method Eighteen patients with diagnosis of advanced/unresectable malignant structures of the antro-pyloric CT were referred to our Department for palliation from January 2000 trough December 2003. In all 18 patients, a 10-centimeter long, endoscopically guided, self-expanding metal stent was inserted with the upper edge above the proximal tumor mass and the lower edge in the first duodenal portion. Gastro-emptying was assessed by clinical parameters and radiological findings. All patients were followed up for 6 months after procedure. Results Placement of the endoprostheses is was always successful. No intra-operative mortality as reported. Gastric emptying was satisfactory in 88.9% and 100% of patients after 8 and 15 days, respectively. The patient remained for 3.1 days. There were no complications related to delayed gastric emptying 6 months after surgery. Discussion Endoscopic palliation is a minimally invasive and well tolerated procedure. Future prospective studies are needed to assess the optimal cost-benefit ratio of endoscopic palliation compared to surgical terms for both post-operative and gastric complications.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
