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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2019; 10(01): 021-027
DOI: 10.4103/jde.JDE_64_18
Review Article
Journal of Digestive Endoscopy

Antroduodenal Stenting for Malignant Gastric Outlet Obstruction: Technique and Outcome

Uday C. Ghoshal
Department of Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Vinay Kumar
Department of Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
› Author Affiliations
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Publication History

Publication Date:
16 September 2019 (online)

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ABSTRACT

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.

KEYWORDS

Enteral nutrition - enteral stent - gallbladder cancer - gastric cancer - gastric outlet obstruction - vomiting
 

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