Retrospective Study of Surgical Gastrojejunostomy versus Gastroduodenal Stenting for Malignant Gastroduodenal Obstruction
10.2512/jspm.11.166
- VernacularTitle:悪性腫瘍による胃十二指腸狭窄に対する内視鏡的ステント留置術の検討：胃空腸吻合術との比較を通して
- Author:
Toshihiko Matsumoto
;
Kaori Hino
;
Hiroyuki Terasawa
;
Akio Nakasya
;
Kazuhiro Uesugi
;
Norifumi Nishide
;
Takeshi Kajiwara
;
Akinori Asagi
;
Tomohiro Nishina
;
Junichirou Nasu
;
Shinichiro Hori
;
Seijin Nadano
;
Hiroshi Ishii
- Publication Type:Journal Article
- Keywords:
gastric stent;
duodenal stent;
gastrojejunostomy;
malignant gastroduodenal obstruction
- From:Palliative Care Research
2016;11(2):166-173
- CountryJapan
- Language:Japanese
-
Abstract:
Background: We retrospectively compared endscopic gastroduodenal stenting with gastrojejunostomy as a means of palliating malignant gastric and duodenal obstruction. Methods: This retrospective study investigated patients treated for malignant gastric and duodenal obstruction from April 2011 to April 2015 at Shikoku Cancer Center. Results: Of the 40 patients in this study, 25 underwent gastroduodenal stenting and 15 had operative gastrojejunostomy. Comparing the stenting and operative patients, technical success rate was 100% in both group, clinical success rate was 84% in stenting patients and 93% in operative patients. The median time to fluid intake was significantly shorter in stenting patients than operative patients(0 day vs 2 days, p=0.0003), and the median time to intake of solids was also significantly shorter in stenting patients(1day vs 3 days, p<0.0001).The median hospital stay was significantly shorter in stenting patients(9 days vs 23 days, p=0.0116). Median cost of hospitalization is more expensive in operative patients than stenting patients(¥1,106,170 vs ¥752,290, p=0.0052). Conclusion: Our study suggested that gastoroduodenal stent was less length of time to fluid/solid intake, and less costly than gastrojejunostomy.
