[Feasibility of prosthesis insertion by laparotomy as palliative treatment for malignant duodenal stenosis].
The authors report a preliminary series assessing the feasibility of duodenal stenting using a surgical approach. The study included 16 patients with a malignant duodenal outlet obstruction for whom a biliaryobstruction necessitated a laparotomyor following an endoscopic stenting failure. The stent was efficient in 15 patients with a complete relieve of obstruction. These patients could have oral intake at the end of the first postoperative week. No stent obstruction occurred. The duodenal stenting by laparotomy could be a good alternative to palliative gastroenteral anasotomosis.
Bardou
A
A
Département d'hépatogastroentérologie médico-chirurgicale hôpital Saint-Philibert, groupe hospitalier de l'institut catholique de Lille, rue du Grand But, BP 249, 59462 Lomme cedex, France. bardou.alain@ghicl.fupl.asso.fr
Dugué
T
T
Delebecq
Th
T
Randoux
O
O
Lucidarme
D
D
Filoche
B
B
Desrousseaux
B
B
D004379:Duodenal Neoplasms / Q000150:complications*; D004380:Duodenal Obstruction / Q000209:etiology* / Q000601:surgery*; D004384:Duodenoscopy; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D010166:Palliative Care / Q000379:methods*; D019919:Prosthesis Implantation / Q000379:methods*; D015607:Stents; D016896:Treatment Outcome