[Endoscopic interventional treatment of malignant gastrointestinal obstruction].
OBJECTIVE
To evaluate the feasibility and clinical value of endoscopic interventional treatment of malignant gastrointestinal obstruction.


METHODS
With the aid of X ray, 32 cases with malignant gastrointestinal obstruction were treated with endoscopic metal stenting. There were 8 cases with gastric outlet obstruction, 7 with duodenal obstruction, 13 with rectal obstruction, and 4 with sigmoid obstruction.


RESULTS
Among the 32 patients, metal stenting was successfully performed in 30 cases (93.7%, and obstructive symptoms were relieved within 1-3 days. Metal stent placement was permanent in 15 cases with gastric outlet or duodenal obstruction. Twelve cases with colorectal obstruction received stent placement as palliative treatment, while other 3 cases underwent subsequent elective surgical resection. Metal stent placement failed in one case with recurrent rectal carcinoma, and perforation occurred in another one case with wide spread metastatic sigmoid colon carcinoma and Hartmann operation was performed. During the follow-up period, no stent migration was detected.


CONCLUSIONS
Endoscopic interventional treatment of malignant gastrointestinal obstruction is a feasible, safe, effective and well tolerated method. It can reduce the patients trauma and pain, and improve the quality of life.
Xu
Mei-dong
MD
Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Yao
Li-qing
LQ
Zhong
Yun-shi
YS
Gao
Wei-dong
WD
Zhou
Ping-Hong
PH
He
Guo-jie
GJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D017219:Gastric Outlet Obstruction / Q000209:etiology / Q000601:surgery*; D005770:Gastrointestinal Neoplasms / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents