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Shunji Endo
Department Kawasaki Medical School Kawasaki Medical School, Department of Digestive Surgery, Position Associate Professor |
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| Article types | 原著 |
| Language | English |
| Peer review | Peer reviewed |
| Title | Efficacy of endoscopic gastroduodenal stenting for gastric outlet obstruction due to unresectable advanced gastric cancer: a prospective multicenter study. |
| Journal | Formal name：Journal of surgical oncology Abbreviation：J Surg Oncol ISSN code：10969098/00224790 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 109(3),pp.208-12 |
| Author and coauthor | Endo Shunji, Takiguchi Shuji, Miyazaki Yasuhiro, Nishikawa Kazuhiro, Imamura Hiroshi, Takachi Ko, Kimura Yutaka, Takeno Atsushi, Tamura Shigeyuki, Mori Masaki, Doki Yuichiro, |
| Authorship | Lead author |
| Publication date | 2014/03 |
| Summary | 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 |