Palliation of obstructing gastric carcinoma with metal stents through a gastrostomy.
Gastric cancer is the world's second most common malignancy. In the U.S., patients present with advanced disease, and surgery with curative intent accounts for only 30% of gastric malignancies. Palliative surgery has significant morbidity and mortality. Recently, there have been encouraging reports of self-expanding endoprostheses in obstructing gastrointestinal neoplasms. We report a case of a 70-yr-old woman with inoperable outlet stenosis secondary to a mucinous infiltrating adenocarcinoma involving nearly the entire stomach, except the anterior wall, which provided a percutaneous access site for gastrostomy and subsequently successful management of outlet obstruction with metallic stents.
D'Altorio
R A
RA
Department of Radiology, Saint Francis Medical Center, Pittsburgh, Pennsylvania 15201, USA.
Kvamme
P
P
D002288:Adenocarcinoma, Mucinous / Q000628:therapy*; D000368:Aged; D005260:Female; D017219:Gastric Outlet Obstruction / Q000628:therapy*; D005774:Gastrostomy; D006801:Humans; D008670:Metals; D010166:Palliative Care / Q000379:methods*; D015607:Stents; D013274:Stomach Neoplasms / Q000628:therapy*
D008670:Metals