Title: 1154 Covered Stents and Suturing for Gastric Outlet Obstruction: Initial Experience
Abstract: Gastric outlet obstruction (GOO) is common in patients with cancer of the pancreatic head, gastric antrum, duodenum and rarely from metastasis. Uncovered self-expandable metal stents (USEMS) provide a faster symptom relief and recovery than surgery. They are the first line treatment in patients who are poor surgical candidates because of poor nutritional and functional status. Tissue ingrowth/in-stent stenosis results in recurrent symptoms results frequently with median stent patency periods of 3-6 months. Covered self-expandable metal stents (CSEMS) have been tried to avoid recurrent obstruction due to tissue ingrowth but studies have shown rates of reintervention to be similar to UCSEMS due to migration. Interestingly, CSEMS were not associated with a higher incidence of biliary obstruction than USEMS. Endoscopic suturing (ES) has been shown to reduce CSEMS migration in the esophagus. We wanted to see if suturing CSEMS to the antrum reduced migration without increasing the adverse events (AE). We present our initial experience in 5 patients with a focus on technique.
Publication Year: 2017
Publication Date: 2017-05-01
Language: en
Type: article
Indexed In: ['crossref']
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