[Three cases of endoscopic gastroduodenal stenting for gastric outlet obstruction caused by unresectable gastric cancer].
Gastroduodenal stenting for gastric outlet obstruction (GOO) caused by malignant disease has been covered by health insurance in Japan since April 2010. We have inserted WallFlex™ duodenal stents (WDS) in 3 patients with GOO caused by unresectable advanced gastric cancer. WDS placement was successful with no complications in all cases. Mean treatment time was 44.7 (35-50) minutes, and mean survival time after WDS placement was 34.7 (19-51) days. Oral food intake was improved in all patients but 1. Enteroparalysis due to peritoneal metastasis supposedly voided WDS placement in 1 patient. WDS placement for GOO caused by advanced gastric cancer is expected to be a safe and effective palliative treatment but sometimes yields no benefit in the patient with peritoneal metastasis.
Dept. of Surgery, Fukaya Red Cross Hospital.
Chizu
C
Yamada
Fumihiko
F
Ishikawa
Hiroshi
H
Nitta
Yoshihisa
Y
Fujita
Hideyuki
H
Omoto
Shigeyuki
S
Kamata
Hiroshi
H
Ito
D000368:Aged; D000369:Aged, 80 and over; D016099:Endoscopy, Gastrointestinal; D005260:Female; D017219:Gastric Outlet Obstruction / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007583:Jejunum; D008297:Male; D010166:Palliative Care; D015607:Stents; D013274:Stomach Neoplasms / Q000150:complications* / Q000473:pathology / Q000628:therapy; D016896:Treatment Outcome