Self-expandable metal stent placement for recurrent cancer in a surgically-altered stomach

Gastric cancer is one of the most common malignancies and most frequent causes of cancer-related death worldwide. Radical surgical resection accomplished by total or distal gastrectomy represents the mainstay of curative treatment for gastric cancer; however, recurrent cancer still occurs in a signi...

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Main Authors: Jung-Hoon Park, Jiaywei Tsauo, Ho-Young Song
Format: Article
Language:English
Published: Society of Gastrointestinal Intervention 2017-07-01
Series:Gastrointestinal Intervention
Subjects:
Online Access:https://doi.org/10.18528/gii160007
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author Jung-Hoon Park
Jiaywei Tsauo
Ho-Young Song
author_facet Jung-Hoon Park
Jiaywei Tsauo
Ho-Young Song
author_sort Jung-Hoon Park
collection DOAJ
description Gastric cancer is one of the most common malignancies and most frequent causes of cancer-related death worldwide. Radical surgical resection accomplished by total or distal gastrectomy represents the mainstay of curative treatment for gastric cancer; however, recurrent cancer still occurs in a significant amount of cases. Patients with recurrent cancer are generally incurable and often experience debilitating symptoms, such as nausea, vomiting, dysphagia, dehydration, and malnutrition, because of malignant gastric-outlet, duodenal, and jejunal obstructions. Consequently, such patients experience progressive deterioration of quality of life. If bypass surgery has not already been performed, it is not usually appropriated in the context of recurrent cancer and is associated with a high risk of morbidity and mortality. Endoscopic or fluoroscopic self-expandable metal stent placement represents an effective and safe method for palliative treatment of recurrent cancer in patients with the surgically-altered stomach. Therefore, it should be considered as the first-line option. Importantly, accurate knowledge of the surgically-altered anatomy and stricture location are critical to achieve successful treatment outcomes.
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spelling doaj.art-13e8b3cf435c4817bdf6b1371ba5328a2022-12-22T00:12:44ZengSociety of Gastrointestinal InterventionGastrointestinal Intervention2213-17952017-07-016210511310.18528/gii160007gii160007Self-expandable metal stent placement for recurrent cancer in a surgically-altered stomachJung-Hoon Park0Jiaywei Tsauo1Ho-Young Song2Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaGastric cancer is one of the most common malignancies and most frequent causes of cancer-related death worldwide. Radical surgical resection accomplished by total or distal gastrectomy represents the mainstay of curative treatment for gastric cancer; however, recurrent cancer still occurs in a significant amount of cases. Patients with recurrent cancer are generally incurable and often experience debilitating symptoms, such as nausea, vomiting, dysphagia, dehydration, and malnutrition, because of malignant gastric-outlet, duodenal, and jejunal obstructions. Consequently, such patients experience progressive deterioration of quality of life. If bypass surgery has not already been performed, it is not usually appropriated in the context of recurrent cancer and is associated with a high risk of morbidity and mortality. Endoscopic or fluoroscopic self-expandable metal stent placement represents an effective and safe method for palliative treatment of recurrent cancer in patients with the surgically-altered stomach. Therefore, it should be considered as the first-line option. Importantly, accurate knowledge of the surgically-altered anatomy and stricture location are critical to achieve successful treatment outcomes.https://doi.org/10.18528/gii160007DysphagiaGastric outlet obstructionSelf expandable metal stentsStomach neoplasoms
spellingShingle Jung-Hoon Park
Jiaywei Tsauo
Ho-Young Song
Self-expandable metal stent placement for recurrent cancer in a surgically-altered stomach
Gastrointestinal Intervention
Dysphagia
Gastric outlet obstruction
Self expandable metal stents
Stomach neoplasoms
title Self-expandable metal stent placement for recurrent cancer in a surgically-altered stomach
title_full Self-expandable metal stent placement for recurrent cancer in a surgically-altered stomach
title_fullStr Self-expandable metal stent placement for recurrent cancer in a surgically-altered stomach
title_full_unstemmed Self-expandable metal stent placement for recurrent cancer in a surgically-altered stomach
title_short Self-expandable metal stent placement for recurrent cancer in a surgically-altered stomach
title_sort self expandable metal stent placement for recurrent cancer in a surgically altered stomach
topic Dysphagia
Gastric outlet obstruction
Self expandable metal stents
Stomach neoplasoms
url https://doi.org/10.18528/gii160007
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