Covered Self-Expandable Metallic Stent Placement for a Post-operative Malignant Anastomotic Stricture Secondary to Recurrent Gastric Cancer.
10.3348/jkrs.2007.57.3.253
- Author:
Woon Ha LEE
1
;
Ji Ho KO
;
Gyoo Sik JUNG
;
Kyung Soon JEONG
;
Kyu Jong KIM
;
Sang Ho LEE
Author Information
1. Department of Radiology, Gospel Hospital, College of Medicine, Kosin University, Korea. kjh6219@dreamwiz.com
- Publication Type:Original Article
- Keywords:
Gastrointestinal tract;
Stomach neoplasm;
Stents;
Radiology, interventional;
Neoplasms recurrence, local
- MeSH:
Constriction, Pathologic*;
Diet;
Eating;
Follow-Up Studies;
Gastrointestinal Tract;
Humans;
Incidence;
Nausea;
Palliative Care;
Radiology, Interventional;
Recurrence;
Stents*;
Stomach Neoplasms*;
Vomiting
- From:Journal of the Korean Radiological Society
2007;57(3):253-259
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the technical feasibility and clinical effectiveness of stent placement for the treatment of a post-operative malignant anastomotic stricture secondary to recurrent gastric cancer. MATERIALS AND METHODS: Under fluoroscopic guidance, one or two covered stents were placed in 20 consecutive patients (age range, 44-75 years) with an anastomotic stricture due to a recurrent gastric malignancy. Before stent placement, all patients had severe nausea and recurrent vomiting after ingestion. RESULTS: Stent placement was technically successful for all patients, and no procedural complications occurred. After stent placement, 18 of 20 (90.0%) patients were able to ingest at least a liquid diet and had a markedly decreased incidence of vomiting. During the follow-up of 2-116 weeks (mean, 25.5 weeks), stent migration occurred in two patients (10.0%) on one day after the procedure. All patients with stent migration were treated successfully by means of placing a second stent. Three patients showed a recurrence of the stricture due to tumor overgrowth; two of the patients were treated with coaxial placement of a second stent. Another patient refused additional management. CONCLUSION: Covered self-expandable metallic stent placement seems to be technically feasible and effective for palliative treatment of a post-operative malignant anastomotic stricture secondary to recurrent gastric cancer.
