title: Palliation of postoperative gastrointestinal anastomotic malignant strictures with flexible covered metallic stents: preliminary results.
abstract: OBJECTIVE
  To evaluate the efficacy of the placement of covered metallic stents for palliation of gastrointestinal anastomotic strictures secondary to recurrent gastric cancer.
  
  
  METHODS
  Under fluoroscopic guidance, placement of one or two self-expandable covered metallic stents was attempted perorally in 11 patents (aged 48-76 years) with anastomotic stenoses due to recurrent gastric malignancies. The strictures involved both the afferent and efferent loops in three patients. All patients had poor peroral food intake with severe nausea and vomiting after ingestion. The technical and clinical success was evaluated.
  
  
  RESULTS
  Placement of the covered stent was technically successful in 13 of 15 (87%) attempts in ten patients. After the procedure, 9 of 11 (82%) patients overall were able to ingest at least a liquid diet and had markedly decreased incidence of vomiting. During the follow-up of 2-31 weeks (mean 8.5 weeks) there were no major complications.
  
  
  CONCLUSIONS
  These preliminary results suggest that flexible, covered stents may provide effective palliation of malignant anastomotic stricture secondary to recurrent gastric cancer.
authors.affiliation: Department of Diagnostic Radiology, Chonbuk National University Hospital, 634-18 Keumam-Dong, Chonju-shi, Chonbuk 561-712, Korea. jmsh@chonbuk.ac.kr
authors.forename: J M
authors.initials: JM
authors.lastname: Lee
authors.forename: Y M
authors.initials: YM
authors.lastname: Han
authors.forename: S Y
authors.initials: SY
authors.lastname: Lee
authors.forename: C S
authors.initials: CS
authors.lastname: Kim
authors.forename: D H
authors.initials: DH
authors.lastname: Yang
authors.forename: S O
authors.initials: SO
authors.lastname: Lee
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010166:Palliative Care; D015607:Stents; D013274:Stomach Neoplasms / Q000601:surgery*