Περίληψη:
Background and Study Aims: Self-expanding metal stents have long been
used in the management of patients with malignant eosphageal and
malignant biliary obstruction, The aim of the present study was to
report on the palliation of malignant gastric outlet obstruction using
self-expanding endoprostheses.
Patients and Methods: Between March 1993 and December 1994, 12 patients
(eight women, four men, mean age 64 years) suffering from malignant
gastric outlet obstruction due to recurrent gastric carcinoma (seven
patients) and pancreatic head carcinoma (five patients) presented with
an inability to eat and intractable vomiting, The patients were managed
with peroral insertion of self-expanding metal stents.
Results: Peroral introduction of the stent with the aid of a stabilizing
overtube was successful in all patients, with the stent being supported
as it was being advanced through the stenosis, Proper release of the
stent into the stenotic area was achieved in all cases, relieving the
intractable vomiting, The procedure was accomplished without any
complications. All patients were able to eat semisolid food four days
after the stent insertion, Apart from an asymptomatic partial stent
occlusion in one patient, no other complications were seen during the
shortterm follow-up one, two, and three months after discharge,
Conclusions: These preliminary results suggest that self-expanding
stents can effectively relieve malignant gastric outlet obstruction.
Συγγραφείς:
Feretis, C
Benakis, P
Dimopoulos, C
Georgopoulos, K and
Milas, F
Manouras, A
Apostolidis, N
