Efficacy of endoscopic gastroduodenal stenting for gastric outlet obstruction due to unresectable advanced gastric cancer: A prospective multicenter study

Shunji Endo, Shuji Takiguchi, Yasuhiro Miyazaki, Kazuhiro Nishikawa, Hiroshi Imamura, Ko Takachi, Yutaka Kimura, Atsushi Takeno, Shigeyuki Tamura, Masaki Mori, Yuichiro Doki

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Background and Objectives Gastroduodenal stents for gastric outlet obstruction due to unresectable advanced gastric cancer are increasingly used; however, their effects have not been fully evaluated. Methods A multicenter prospective observational study was performed. Patients were eligible if they had stage IV gastric cancer with a gastric outlet obstruction scoring system (GOOSS) score of 0 (no oral intake) or 1 (liquids only). Self-expandable metallic stents were delivered endoscopically. The effects of stents were evaluated. Results Twenty patients were enrolled and 18 were eligible (15 men, three women; median age, 70 years). Stent placement was successfully performed in all patients, with no complications. After stenting, a GOOSS score of 2 (soft solids only) or 3 (low-residue or full diet) was achieved in 13 (72%) patients. An improvement in the GOOSS score by one or more points was obtained in 16 (94%) patients. The median duration of fasting and hospital stay was 3 (range, 0-9) days and 18 (6-168) days, respectively. Chemotherapy was performed after stenting in 13 (72%) patients. Conclusions Gastroduodenal stents are thought to be feasible, safe, and effective for gastric outlet obstruction due to unresectable advanced gastric cancer, with rapid clinical relief and a short hospital stay. J. Surg. Oncol. 2014 109:208-212.

元の言語英語
ページ(範囲)208-212
ページ数5
ジャーナルJournal of Surgical Oncology
109
発行部数3
DOI
出版物ステータス出版済み - 3 2014
外部発表Yes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

フィンガープリント Efficacy of endoscopic gastroduodenal stenting for gastric outlet obstruction due to unresectable advanced gastric cancer: A prospective multicenter study' の研究トピックを掘り下げます。これらはともに一意のフィンガープリントを構成します。

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    Endo, S., Takiguchi, S., Miyazaki, Y., Nishikawa, K., Imamura, H., Takachi, K., Kimura, Y., Takeno, A., Tamura, S., Mori, M., & Doki, Y. (2014). Efficacy of endoscopic gastroduodenal stenting for gastric outlet obstruction due to unresectable advanced gastric cancer: A prospective multicenter study. Journal of Surgical Oncology, 109(3), 208-212. https://doi.org/10.1002/jso.23486