Malignant gastric outlet obstruction
Conditions
Interventions
In one treatment group a Self Expandable Metal Stent (SEMS) will be used. In
the other treatment group an open or laparoscopic gastrojejunostomy will be
performed.
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Malignancy of peri-duodenal area Gastric Oulet Obstruction Scoring System (GOOSS) = 4 weeks Informed consent Age >= 18 years
Exclusion criteria
Exclusion criteria: Potentially curable disease Pre-procedural evidence of additional strictures in the gastrointestinal tract beyond the level of the duodenum Previous gastrojejunostomy 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 |
|---|---|
| Gut Function Score (GFS), technical success, length of procedure-related hospital stay, complication rate (including pain intensity using a numerical rating scale, NRS), recurrent obstruction and reintervention rate, quality of life (QoL), costs and survival. | — |
Countries
Netherlands
Outcome results
None listed