Malignant gastric outlet obstruction Dutch: maaguitgangstenose
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Malignant neoplasm of peri-duodenal area; 2. Gastric Oulet Obstruction Scoring System (GOOSS, see below) ≤ 1; 3. Life expectancy ≥ 4 weeks; 4. Informed consent; 5. Age ≥ 18 years; 6. Physical condition allowing to undergo upper gastrointestinal endoscopy or surgery, depending on judgement of local anaesthesiologist.
Exclusion criteria
Exclusion criteria: 1. Potentially curable disease; 2. Pre-procedural evidence of additional strictures in the gastrointestinal tract beyond the level of the duodenum; 3. Previous gastrojejunostomy; 4. Previous treatment with self-expandable metal stent for same condition.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of days alive within the first 24 weeks after intervention with an oral intake of at least soft solids (GOOSS ≥ 2). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Gut Function Score (GFS); 2. Technical success; 3. Length of procedure-related hospital stay; 4. Complication rate (including pain intensity using a numerical rating scale, NRS); 5. Recurrent obstruction and reintervention rate; 6. Quality of life (QoL); 7. Costs; 8. Survival. | — |
Contacts
Postbus 2040