Palliative Stenting for Late Malignant Gastric Outlet Obstruction

详细信息    查看全文

• 作者：James M. Kiely (1) (6)
  Kulwinder S. Dua (2)
  Shannon J. Graewin (1) (6)
  Attila Nakeeb (3)
  Beth A. Erickson (4)
  Paul S. Ritch (5)
  Stuart D. Wilson (1) (6)
  Henry A. Pitt (3)
  
• 关键词：Gastric outlet obstruction ; Enteral metal stents ; Endoscopic stents
• 刊名：Journal of Gastrointestinal Surgery
• 出版年：2007
• 出版时间：January 2007
• 年：2007
• 卷：11
• 期：1
• 页码：107-113
• 全文大小：233KB
• 参考文献：1. Lillemoe, K. D., Sauter, P. K., Pitt, H. A., Yeo, C. J., & Cameron, J. L. (1993). Current status of surgical palliation of periampullary carcinoma. / Surgery, Gynecology & Obstetrics, 176, 1-0.
  2. Lillemoe, K. D., Cameron, J. L., Hardacre, J. M., Sohn, T. A., Sauter, P. K., Coleman, J., et al. (1999). Is prophylactic gastrojejunostomy indicated for unresectable periampullary cancer? A prospective randomized trial. / Annals of Surgery, 230, 322-28. ss="external" href="http://dx.doi.org/10.1097/00000658-199909000-00005">CrossRef
  3. Potts, J. R., Broughan, T. A., & Hermann, R. E. (1990). Palliative operations for pancreatic carcinoma. / American Journal of Surgery, 159, 72-8. ss="external" href="http://dx.doi.org/10.1016/S0002-9610(05)80609-9">CrossRef
  4. Sohn, T. A., Lillemoe, K. D., Cameron, J. L., Huang, J. J., Pitt, H. A., & Yeo, C. J. (1999). Surgical palliation of unresectable periampullary adenocarcinoma in the 1990s. / Journal of the American College of Surgeons, 188, 658-66. ss="external" href="http://dx.doi.org/10.1016/S1072-7515(99)00049-6">CrossRef
  5. Doberneck, R. C., & Berndt, G. A. (1987). Delayed gastric emptying after palliative gastrojejunostomy for carcinoma of the pancreas. / Archives of Surgery, 122, 827-29.
  6. Weaver, D. W., Wieneck, M. D., Bowman, D. L., & Walt, A. J. (1987). Gastrojejunostomy: Is it helpful for patients with pancreatic cancer? / Surgery, 102, 608-13.
  7. De Baere, T., Harry, G., Ducreux, M., Elias, D., Briquet, R., Kuoch, V., et al. (1997). Self-expanding metallic stents as palliative treatment of malignant gastroduodenal stenosis. / American Journal of Roentgenology, 169, 1079-083.
  8. Feretis, C., Benakis, P., Dimopoulos, C., Georgopoulos K., Milas F., Manouras A., et al. (1996). Palliation of malignant gastric outlet obstruction with self-expanding metal stents. / Endoscopy, 28, 225-28. ss="external" href="http://dx.doi.org/10.1055/s-2007-1005432">CrossRef
  9. Feretis, C., Benakis, P., Dimopoulos, C., Manouras, A., Tsimbloulis, B., & Apostolidis, N. (1997). Duodenal obstruction caused by pancreatic head carcinoma: Palliation with self expandable endoprostheses. / Gastrointestinal Endoscopy, 46, 161-65. ss="external" href="http://dx.doi.org/10.1016/S0016-5107(97)70066-X">CrossRef
  10. Maetani, I., Inoue, H., Sato, M., Ohashi, S., Igarashi, Y., & Sakai, Y. (1996). Peroral insertion techniques of self-expanding metal stents for malignant gastric outlet and duodenal stenosis. / Gastrointestinal Endoscopy, 44, 468-71. ss="external" href="http://dx.doi.org/10.1016/S0016-5107(96)70102-5">CrossRef
  11. Mauro, M. A., Koehler, R. E., & Baron, T. H. (2000). Advances in gastrointestinal intervention: The treatment of gastroduodenal and colorectal obstructions with metallic stents. / Radiology, 215, 659-69.
  12. Topazian, M., Ring, E., & Grendell, J. (1992). Palliation of obstructing gastric cancer with steel mesh, self-expanding endoprostheses. / Gastrointestinal Endoscopy, 38, 58-0.
  13. Truong, S., Bohndorf, V., Geller, H., Schumpelick, V., & Gunther, R. W. (1992). Self-expanding metal stents for palliation of malignant gastric outlet obstruction. / Endoscopy, 24, 433-35.
  14. Adler, D. G., & Baron, T. H. (2002). Endoscopic palliation of malignant gastric outlet obstruction using self-expanding metal stents: Experience in 36 patients. / American Journal of Gastroenterology, 97, 72-8. ss="external" href="http://dx.doi.org/10.1111/j.1572-0241.2002.05423.x">CrossRef
  15. Kim, J. H., Yoo, B. M., Lee, K. J., Hahm, K. B., Cho, S. W., Park, J. J., et al. (2001). Self-expanding coil stent with a long delivery system for palliation of unresectable malignant gastric outlet obstruction: A prospective study. / Endoscopy, 33, 838-42. ss="external" href="http://dx.doi.org/10.1055/s-2001-17340">CrossRef
  16. Pinto Pabon, I. T., Diaz, L. P., Ruiz De Adana, J. C., & Lopez Herrero, J. (2001). Gastric and duodenal stents: Follow-up and complications. / Cardiovascular and Interventional Radiology, 24, 147-53. ss="external" href="http://dx.doi.org/10.1007/s002700001742">CrossRef
  17. Mittal, A., Windsor, J., Woodfield, J., Casey, P., & Lane, M. (2004). Matched study of three methods for palliation of malignant pyloroduodenal obstruction. / British Journal of Surgery, 91, 205-09. ss="external" href="http://dx.doi.org/10.1002/bjs.4396">CrossRef
  18. Wong, Y. T., Brams, D. M., Munson, L., Sanders, L., Heiss, F., Chase, M., et al. (2002). Gastric outlet obstruction secondary to pancreatic cancer: Surgical vs endoscopic palliation. / Surgical Endoscopy, 16, 310-12. ss="external" href="http://dx.doi.org/10.1007/s00464-001-9061-2">CrossRef
  19. Yim, H. B., Jacobson, B. C., Saltzman, J. R., Johannes, R. S., Bounds, B. C., Lee, J. H., et al. (2001). Clinical outcome of the use of enteral stents for palliation of patients with malignant upper GI obstruction. / Gastrointestinal Endoscopy, 53, 329-32.
  20. Fiori, E., Lamazza, A., Volpino, P., Burza, A., Paparelli, C., Cavallaro, G., et al. (2004). Palliative management of malignant antro-pyloric strictures: Gastroenterostomy vs. endoscopic stenting: A randomized prospective trial. / Anticancer Research, 24, 269-71.
  21. Baron, T. H., & Harewood, G. C. (2003). Enteral self-expandable stents. / Gastrointestinal Endoscopy, 58, 421-33. ss="external" href="http://dx.doi.org/10.1067/S0016-5107(03)00023-3">CrossRef
  22. Jung, G. S., Song, H. Y., Kang, S. G., Huh, J. D., Park, S. J., Koo, J. Y., et al. (2000). Malignant gastroduodenal obstructions: Treatment by means of a covered expandable metallic stent-initial experience. / Radiology, 216, 758-63.
  23. Park, K. B., Do, Y. S., Kang, W. K., Choo, S. W., Han, Y. H., Suh, S. W., et al. (2001). Malignant obstruction of gastric outlet and duodenum: Palliation with flexible covered metallic stents. / Radiology, 219, 679-83.
  24. Jeong, J. Y., Han, J. K., Kim, A. Y., Lee, K. H., Lee, J. Y., Kang, J. W., et al. (2002). Fluoroscopically guided placement of a covered self-expandable metallic stent for malignant antroduodenal obstructions: Preliminary results in 18 patients. / AJR American Journal of Roentgenology, 178, 847-52.
  25. Dumas, R., Demarquay, J. F., Caroli-Bosc, F. X., Paolini, O., Guenenna, D., Peten, E. P., et al. (2000). Palliative endoscopic treatment of malignant duodenal stenosis by metal prosthesis. / Gastroente?rologie Clinique et Biologique, 24, 714-18.
  26. Dormann, A., Meisner, S., Verin, N., & Wenk Lang, A. (2004). Self-expanding metal stents for gastroduodenal malignancies: Systematic review of their clinical effectiveness. / Endoscopy, 36, 543-50. ss="external" href="http://dx.doi.org/10.1055/s-2004-814434">CrossRef
  27. Nassif, T., Prat, F., Meduri, B., Fritsch, J., Choury, A. D., Dumont, J. L., et al. (2003). Endoscopic palliation of malignant gastric outlet obstruction using self-expandable metallic stents: Results of a multicenter study. / Endoscopy, 35, 483-89. ss="external" href="http://dx.doi.org/10.1055/s-2003-39661">CrossRef
  28. De Luca, A., & Coupar, I. M. (1996). Insights into opioid action in the intestinal tract. / Pharmacology & Therapeutics, 69, 103-15. ss="external" href="http://dx.doi.org/10.1016/0163-7258(95)02053-5">CrossRef
  29. Kurz, A., & Sessler, D. I. (2003). Opioid-induced bowel dysfunction: Pathophysiology and potential new therapies. / Drugs, 63, 649-71. ss="external" href="http://dx.doi.org/10.2165/00003495-200363070-00003">CrossRef
  30. Baron, T. H., Schofl, R., Puespoek, A., & Sakai, Y. (2001). Expandable metal stent placement for gastric outlet obstruction. / Endoscopy, 33, 623-28.
  
• 作者单位：James M. Kiely (1) (6)
  Kulwinder S. Dua (2)
  Shannon J. Graewin (1) (6)
  Attila Nakeeb (3)
  Beth A. Erickson (4)
  Paul S. Ritch (5)
  Stuart D. Wilson (1) (6)
  Henry A. Pitt (3)
  
  1. Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
  6. Zablocki Veterans Affairs Medical Center, Milwaukee, WI, USA
  2. Department of Gastroenterology, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Froedert Hospital, Milwaukee, WI, 53226-3596, USA
  3. Department of Surgery, Indiana University School of Medicine, 535 Barnhill Drive, RT130D, Indianapolis, IN, 46202-5124, USA
  4. Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI, USA
  5. Department of Medical Oncology, Medical College of Wisconsin, Milwaukee, WI, USA
  

文摘

Malignant gastric outlet obstruction (MGO) is a late complication of pancreatobiliary and gastric cancers. Although surgical gastrojejunostomy provides good palliation, many of these patients may be nonoperative candidates or underwent previous extensive resection such as a Whipple procedure. Recently, endoscopically placed self-expanding metallic stents (SEMS) have been used to palliate MGO. The aim of this study was to evaluate the efficacy of SEMS for palliation of late MGO. Medical records of patients with endoscopic placement of SEMS for palliation of MGO were reviewed. Results showed that 30 patients with MGO had SEMS placed for late gastroduodenal (n--0) or jejunal (n--0) obstruction. Twenty-one patients (70%) had previous surgery. Return to oral feeding was observed in 90% of patients who presented with recurrent obstruction after prior bypass surgery and in 88% of nonoperative patients in whom SEMS were placed as the primary therapy for obstruction. No major complications were observed, and median survival after SEMS was 4.1?months (0.1 to 10.5?months). SEMS also did not interfere with biliary drainage. In conclusion, endoscopically placed SEMS are safe and provide good palliation for late malignant gastroduodenal and jejunal strictures and are an excellent complement to recurrent obstruction after surgical gastrojejunostomy.