title: Placement of two overlapping uncovered metallic stents for malignant gastric outlet and duodenal obstruction due to colon cancer.
abstract: Malignant obstruction of the gastric outlet and duodenum is frequently due to extrinsic involvement by tumors from contiguous organs, in particular from pancreas and gallbladder. The treatment of malignant gastroduodenal stenoses is difficult. Many patients have advanced malignant disease and are too ill to undergo surgical approach. Surgical gastrojejunostomy has been considered the palliative treatment of choice. Metallic stents can be useful in this condition with adequate palliation obtained in most cases. We report a case in which self-expanding metallic stents were placed for stenoses of the gastric outlet and duodenum due to a colon cancer.
authors.affiliation: Unit of Digestive Endoscopy and Gastroenterology, Sandro Pertini Hospital, Via dei Monti Tiburtini, 00157 Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Zippi
authors.forename: G
authors.initials: G
authors.lastname: Traversa
authors.forename: A
authors.initials: A
authors.lastname: Masini
authors.forename: I
authors.initials: I
authors.lastname: De Felici
authors.forename: I
authors.initials: I
authors.lastname: Febbraro
authors.forename: E
authors.initials: E
authors.lastname: Mattei
authors.forename: R
authors.initials: R
authors.lastname: Pica
authors.forename: I
authors.initials: I
authors.lastname: Bertoldi
authors.forename: G
authors.initials: G
authors.lastname: Occhigrossi
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000150:complications*; D004380:Duodenal Obstruction / Q000209:etiology* / Q000601:surgery*; D017219:Gastric Outlet Obstruction / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007813:Laparotomy / Q000295:instrumentation; D008297:Male; D015607:Stents