エンドウ　シュンジ   Shunji Endo   遠藤　俊治    所属   川崎医科大学  医学部 臨床医学　消化器外科学    職種   准教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Efficacy of endoscopic gastroduodenal stenting for gastric outlet obstruction due to unresectable advanced gastric cancer: a prospective multicenter study.
掲載誌名	正式名：Journal of surgical oncology 略　 称：J Surg Oncol ISSNコード：10969098/00224790
掲載区分	国外
巻・号・頁	109(3),pp.208-12
著者・共著者	Endo Shunji, Takiguchi Shuji, Miyazaki Yasuhiro, Nishikawa Kazuhiro, Imamura Hiroshi, Takachi Ko, Kimura Yutaka, Takeno Atsushi, Tamura Shigeyuki, Mori Masaki, Doki Yuichiro,
担当区分	筆頭著者
発行年月	2014/03
概要	BACKGROUND AND OBJECTIVES:Gastroduodenal stents for gastric outlet obstruction due to unresectable advanced gastric cancer are increasingly used; however, their effects have not been fully evaluated.METHODS:A multicenter prospective observational study was performed. Patients were eligible if they had stage IV gastric cancer with a gastric outlet obstruction scoring system (GOOSS) score of 0 (no oral intake) or 1 (liquids only). Self-expandable metallic stents were delivered endoscopically. The effects of stents were evaluated.RESULTS:Twenty patients were enrolled and 18 were eligible (15 men, three women; median age, 70 years). Stent placement was successfully performed in all patients, with no complications. After stenting, a GOOSS score of 2 (soft solids only) or 3 (low-residue or full diet) was achieved in 13 (72%) patients. An improvement in the GOOSS score by one or more points was obtained in 16 (94%) patients. The median duration of fasting and hospital stay was 3 (range, 0-9) days and 18 (6-168) days, respectively. Chemotherapy was performed after stenting in 13 (72%) patients.CONCLUSIONS:Gastroduodenal stents are thought to be feasible, safe, and effective for gastric outlet obstruction due to unresectable advanced gastric cancer, with rapid clinical relief and a short hospital stay.
DOI	10.1002/jso.23486
PMID	24464867