Duodenal stent placement for the preparation of systemic chemotherapy in patients with advanced pancreatic cancer and gastric outlet obstruction

Pancreatology ◽  
2016 ◽  
Vol 16 (4) ◽  
pp. S145
Author(s):  
Satoshi Kobayashi ◽  
Makoto Ueno ◽  
Satoshi Moriya ◽  
Shun Tezuka ◽  
Shinichi Ohkawa ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Gastric Outlet Obstruction ◽  
Stent Placement ◽  
Systemic Chemotherapy ◽  
Advanced Pancreatic Cancer ◽  
Outlet Obstruction ◽  
Duodenal Stent

Endoscopic duodenal stent versus surgical gastrojejunostomy for gastric outlet obstruction in patients with advanced pancreatic cancer

Pancreatology ◽  
2018 ◽  
Vol 18 (5) ◽  
pp. 601-607 ◽  
Author(s):  
Shinya Uemura ◽  
Takuji Iwashita ◽  
Keisuke Iwata ◽  
Tsuyoshi Mukai ◽  
Shinji Osada ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Gastric Outlet Obstruction ◽  
Advanced Pancreatic Cancer ◽  
Outlet Obstruction ◽  
Duodenal Stent

Gastrojejunostomy versus duodenal stent placement for gastric outlet obstruction in patients with unresectable pancreatic cancer

Pancreatology ◽  
2017 ◽  
Vol 17 (6) ◽  
pp. 983-989 ◽  
Author(s):  
Yukio Yoshida ◽  
Akira Fukutomi ◽  
Masaki Tanaka ◽  
Teiichi Sugiura ◽  
Noboru Kawata ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Gastric Outlet Obstruction ◽  
Stent Placement ◽  
Outlet Obstruction ◽  
Unresectable Pancreatic Cancer ◽  
Duodenal Stent

Gastrojejunostomy Versus Duodenal Stent Placement for the Palliation of Malignant Gastric Outlet Obstruction: Multicenter Randomized Trial

2009 ◽  
Vol 69 (5) ◽  
pp. AB187 ◽  
Author(s):  
Suzanne Jeurnink ◽  
Ewout W. Steyerberg ◽  
Jeanin E. Van Hooft ◽  
Casper H. Van Eijck ◽  
Matthijs P. Schwartz ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Gastric Outlet Obstruction ◽  
Stent Placement ◽  
Outlet Obstruction ◽  
Malignant Gastric Outlet Obstruction ◽  
Multicenter Randomized Trial ◽  
Duodenal Stent

scholarly journals Safety and efficacy of duodenal stent insertion for gastric outlet obstruction: characterisation of a regional district general hospital service

2020 ◽  
Vol 102 (9) ◽  
pp. 689-692
Author(s):  
A Bryce ◽  
JM Wohlgemut ◽  
T Coyle ◽  
J Hannay
Keyword(s):  
General Hospital ◽  
Gastric Outlet Obstruction ◽  
Stent Placement ◽  
Outlet Obstruction ◽  
District General Hospital ◽  
Stent Insertion ◽  
Post Intervention ◽  
Safety And Efficacy ◽  
Malignant Gastric Outlet Obstruction ◽  
Duodenal Stent

Introduction Placement of a duodenal or pyloric stent is a recognised palliative procedure for symptomatic relief of malignant gastric outlet obstruction. This procedure can be associated with significant complications, reinterventions and poor long-term relief of obstructive symptoms. However, there may be a faster return to diet and shorter hospital stay in comparison to other palliative procedures (eg gastrojejunostomy). The aim of this study was to determine the safety and efficacy of duodenal stenting in our regional district general hospital in comparison to that of larger tertiary centres. Materials and methods All patients with gastric outlet obstruction who had duodenal stent placement attempted in our region between 1 August 2013 and 31 July 2018 were identified by retrospective analysis of prospectively maintained coding databases and medical notes. Patient demographics, safety outcomes and efficacy outcomes were then extracted. Results were interpreted with respect to data from best available published evidence from larger tertiary centres. Results Of 43 duodenal stent insertion attempts, 84% had a successful return to diet, 18% underwent reintervention, 18% suffered adverse events, mean length of stay post-intervention was 8.6 days and mean survival post-intervention was 132 days. Conclusions Patients with malignant gastric outlet obstruction in whom duodenal stent placement was attempted had similar outcomes to published data from larger tertiary centres. Duodenal stent placement remains an acceptable treatment option for these patients in our region.

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