Palliation of Postoperative Gastrointestinal Anastomotic Malignant Strictures with Flexible Covered Metallic Stents: Preliminary Results
Journal Article
·
· Cardiovascular and Interventional Radiology
- Department of Diagnostic Radiology, Chonbuk National University Hospital, 634-18 Keumam-Dong, Chonju-shi, Chonbuk 561-712 (Korea, Republic of)
- Department of General Surgery, Chonbuk National University Hospital, 634-18 Keumam-Dong, Chonju-shi, Chonbuk 561-712 (Korea, Republic of)
- Department of Internal Medicine, Chonbuk National University Hospital, 634-18 Keumam-Dong, Chonju-shi, Chonbuk 561-712 (Korea, Republic of)
Purpose: To evaluate the efficacy of the placement of covered metallic stents for palliation of gastrointestinal anastomotic strictures secondary to recurrent gastric cancer.Methods: Under fluoroscopic guidance, placement of one or two self-expandable covered metallic stents was attempted perorally in 11 patents (aged 48-76 years) with anastomotic stenoses due to recurrent gastric malignancies. The strictures involved both the afferent and efferent loops in three patients. All patients had poor peroral food intake with severe nausea and vomiting after ingestion. The technical and clinical success was evaluated.Results: Placement of the covered stent was technically successful in 13 of 15 (87%) attempts in ten patients. After the procedure, 9 of 11 (82%) patients overall were able to ingest at least a liquid diet and had markedly decreased incidence of vomiting. During the follow-up of 2-31 weeks (mean 8.5 weeks) there were no major complications.Conclusion: These preliminary results suggest that flexible, covered stents may provide effective palliation of malignant anastomotic stricture secondary to recurrent gastric cancer.
- OSTI ID:
- 21083551
- Journal Information:
- Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 1 Vol. 24; ISSN 0174-1551; ISSN CAIRDG
- Country of Publication:
- United States
- Language:
- English
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