title: Management of upper gastrointestinal obstruction in advanced ovarian cancer with intraluminal stents.
abstract: BACKGROUND
  The course of many patients with end-stage gynecologic malignancy will be complicated by malignant bowel obstruction. Intraluminal stents are a novel alternative to standard surgical intervention which can involve considerable patient risk.
  
  
  METHODS
  Two cases are presented of patients with upper gastrointestinal obstruction due to recurrent ovarian cancer. In the first case, a stent was utilised to provide relief from nocturnal vomiting secondary to duodenal obstruction. In the second case, stent insertion for subtotal gastric outlet obstruction provided initial relief from vomiting. However, recurrence of symptoms occurred due to stent occlusion from tumour ingrowth.
  
  
  CONCLUSIONS
  In patients with upper gastrointestinal obstruction due to recurrent gynecologic malignancy, intraluminal stents can provide useful palliation.
authors.affiliation: Department of Obstetrics and Gynaecology, Royal Prince Alfred Hospital, Missenden Road, Camperdown, New South Wales 2050, Australia.
authors.forename: Archana
authors.initials: A
authors.lastname: Rao
authors.forename: Russell
authors.initials: R
authors.lastname: Land
authors.forename: Jonathan
authors.initials: J
authors.lastname: Carter
mesh_terms: D000328:Adult; D000368:Aged; D004380:Duodenal Obstruction / Q000209:etiology* / Q000601:surgery*; D005260:Female; D017219:Gastric Outlet Obstruction / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000150:complications; D010051:Ovarian Neoplasms / Q000150:complications*; D015607:Stents