Gastric Outlet Obstruction
Conditions
Keywords
gastric outlet obstruction, palliative treatment, stent
Brief summary
Covered self-expandable metallic stents (SEMS) have been used to prevent tumor ingrowth, a common complication of uncovered SEMSs. However, they have revealed a high incidence of stent migration in patients with unresectable malignant gastric outlet obstruction (GOO). A conformable covered SEMS was introduced to overcome both stent migration and tumor ingrowth. The aims of this study were to evaluate the clinical outcomes of newly designed conformable covered and uncovered SEMS for palliation of malignant GOO.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* adults 18 years of age or older * obstructive symptoms due to unresectable malignant GOO * a Karnofsky performance score of more than 30 (13)
Exclusion criteria
* history of a previous SEMS insertion * the presence of obstruction in the gastrointestinal tract excluding the gastric outlet * severe comorbidities precluding the endoscopic procedure, such as cardiopulmonary disease, sepsis, and bleeding disorders * a life expectancy of less than 1 month after SEMS insertion * history of gastric surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the stent patency time from stent insertion to restenosis due to stent malfunction or death | Up to 1 years |
Secondary
| Measure | Time frame |
|---|---|
| stent malfunction (e.g., stent migration or occlusion due to tumor ingrowth/overgrowth) and the reintervention rate | up to 1 years |
Countries
South Korea