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  • Title: [Three cases of endoscopic gastroduodenal stenting for gastric outlet obstruction caused by unresectable gastric cancer].
    Author: Yamada C, Ishikawa F, Nitta H, Fujita Y, Omoto H, Kamata S, Ito H.
    Journal: Gan To Kagaku Ryoho; 2014 Nov; 41(12):2329-30. PubMed ID: 25731512.
    Abstract:
    Gastroduodenal stenting for gastric outlet obstruction (GOO) caused by malignant disease has been covered by health insurance in Japan since April 2010. We have inserted WallFlex™ duodenal stents (WDS) in 3 patients with GOO caused by unresectable advanced gastric cancer. WDS placement was successful with no complications in all cases. Mean treatment time was 44.7 (35-50) minutes, and mean survival time after WDS placement was 34.7 (19-51) days. Oral food intake was improved in all patients but 1. Enteroparalysis due to peritoneal metastasis supposedly voided WDS placement in 1 patient. WDS placement for GOO caused by advanced gastric cancer is expected to be a safe and effective palliative treatment but sometimes yields no benefit in the patient with peritoneal metastasis.
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