Antroduodenal Stenting for Malignant Gastric Outlet Obstruction: Technique and Outcome
Gastric outlet obstruction (GOO) is usually a late presentation of gastric cancer, pancreaticobiliary malignancy, and extrinsic lymph nodal compression. Presenting symptoms are abdominal pain, postprandial epigastric fullness, and recurrent vomiting, which lead to severe malnutrition and dehydration...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2019-01-01
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| Series: | Journal of Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_64_18 |
| _version_ | 1811324295958233088 |
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| author | Uday C. Ghoshal Vinay Kumar |
| author_facet | Uday C. Ghoshal Vinay Kumar |
| author_sort | Uday C. Ghoshal |
| collection | DOAJ |
| description | Gastric outlet obstruction (GOO) is usually a late presentation of gastric cancer, pancreaticobiliary malignancy, and extrinsic lymph nodal compression. Presenting symptoms are abdominal pain, postprandial epigastric fullness, and recurrent vomiting, which lead to severe malnutrition and dehydration and poor quality of life (QoL). Endoscopic enteral stent placement has become the acceptable alternative modality for palliation of malignant GOO because it is safe, minimally invasive, and a cost-effective procedure. In addition, endoscopic stent placement leads to shorter time to resume oral diet and shorter hospital stay in comparison to surgical bypass. Endoscopic stent placement is associated with high technical as well as clinical success rates and improvement in QoL, but no survival improvement. Recurrence of symptoms occurs due to stent occlusion, or stent migration, which can be successfully managed with repeat endoscopic stent placement. Perforation and bleeding are serious but rare complications. |
| first_indexed | 2024-04-13T14:11:50Z |
| format | Article |
| id | doaj.art-2295fe78c6614b288f14b7df2837c33b |
| institution | Directory Open Access Journal |
| issn | 0976-5042 0976-5050 |
| language | English |
| last_indexed | 2024-04-13T14:11:50Z |
| publishDate | 2019-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Digestive Endoscopy |
| spelling | doaj.art-2295fe78c6614b288f14b7df2837c33b2022-12-22T02:43:45ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502019-01-01100102102710.4103/jde.JDE_64_18Antroduodenal Stenting for Malignant Gastric Outlet Obstruction: Technique and OutcomeUday C. Ghoshal0Vinay Kumar1Department of Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, IndiaDepartment of Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, IndiaGastric outlet obstruction (GOO) is usually a late presentation of gastric cancer, pancreaticobiliary malignancy, and extrinsic lymph nodal compression. Presenting symptoms are abdominal pain, postprandial epigastric fullness, and recurrent vomiting, which lead to severe malnutrition and dehydration and poor quality of life (QoL). Endoscopic enteral stent placement has become the acceptable alternative modality for palliation of malignant GOO because it is safe, minimally invasive, and a cost-effective procedure. In addition, endoscopic stent placement leads to shorter time to resume oral diet and shorter hospital stay in comparison to surgical bypass. Endoscopic stent placement is associated with high technical as well as clinical success rates and improvement in QoL, but no survival improvement. Recurrence of symptoms occurs due to stent occlusion, or stent migration, which can be successfully managed with repeat endoscopic stent placement. Perforation and bleeding are serious but rare complications.http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_64_18 enteral nutrition enteral stent gallbladder cancer gastric cancer gastric outlet obstruction vomiting |
| spellingShingle | Uday C. Ghoshal Vinay Kumar Antroduodenal Stenting for Malignant Gastric Outlet Obstruction: Technique and Outcome Journal of Digestive Endoscopy enteral nutrition enteral stent gallbladder cancer gastric cancer gastric outlet obstruction vomiting |
| title | Antroduodenal Stenting for Malignant Gastric Outlet Obstruction: Technique and Outcome |
| title_full | Antroduodenal Stenting for Malignant Gastric Outlet Obstruction: Technique and Outcome |
| title_fullStr | Antroduodenal Stenting for Malignant Gastric Outlet Obstruction: Technique and Outcome |
| title_full_unstemmed | Antroduodenal Stenting for Malignant Gastric Outlet Obstruction: Technique and Outcome |
| title_short | Antroduodenal Stenting for Malignant Gastric Outlet Obstruction: Technique and Outcome |
| title_sort | antroduodenal stenting for malignant gastric outlet obstruction technique and outcome |
| topic | enteral nutrition enteral stent gallbladder cancer gastric cancer gastric outlet obstruction vomiting |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_64_18 |
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