Metallic Stent Placement in the Palliative Treatment of Malignant Gastric Outlet Obstructions: Primary Gastric Carcinoma Versus Pancreatic Carcinoma

• Published in: American journal of roentgenology (1976) Vol. 193; no. 1; pp. 241 - 247
• Main Authors: Kim, Jin Hyoung, Song, Ho-Young, Shin, Ji Hoon, Hu, Hong Tao, Lee, Sung Koo, Jung, Hwoon-Yong, Yook, Jeong Hwan
• Format: Journal Article
• Language: English
• Published: Reston, VA Am Roentgen Ray Soc 01-07-2009; American Roentgen Ray Society
• Subjects: Adult; Aged; Aged, 80 and over; Biological and medical sciences; Female; Gastric Outlet Obstruction - etiology; Gastric Outlet Obstruction - surgery; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Investigative techniques, diagnostic techniques (general aspects); Liver. Biliary tract. Portal circulation. Exocrine pancreas; Male; Medical sciences; Metals; Middle Aged; Palliative Care; Pancreatic Neoplasms - complications; Pancreatic Neoplasms - surgery; Stents; Stomach Neoplasms - complications; Stomach Neoplasms - surgery; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus; Treatment Outcome; Tumors; Nuclear medicine; Instrumentation therapy; Palliative treatment; Malignant tumor; Stomach cancer; Obstruction; Stent; Stomach carcinoma; Radiology; Digestive diseases; Comparative study; Cancer; Gastric disease; Pancreatic disease; Pancreas carcinoma
• ISSN: 0361-803X; 1546-3141
• DOI: 10.2214/AJR.08.1760

The objective of our study was to compare the clinical effectiveness of metallic stent placement for relief of gastric outlet obstruction caused by gastric carcinoma and pancreatic carcinoma.
A total of 207 patients with gastric outlet obstruction caused by inoperable gastric carcinoma (n = 147) or pancreatic carcinoma (n = 60) underwent metallic stent placement.
Technical success of metallic stent placement was achieved in all patients. Clinical success was achieved in 97% and 93% of patients with gastric and pancreatic carcinoma, respectively (p = 0.286). The overall complication rate did not differ significantly between the gastric (29%) and pancreatic (23%) carcinoma groups (p = 0.441). Stent collapse was significantly more frequent in the gastric carcinoma group (11%) than the pancreatic carcinoma group (2%) (p = 0.027), whereas serious complications, including gastrointestinal bleeding and intestinal perforation, occurred more frequently in the pancreatic (7%) than the gastric (1%) carcinoma group (p = 0.026). The cumulative survival period was significantly longer in the gastric carcinoma (median, 153 days) than the pancreatic carcinoma (median, 90 days) group (p = 0.041), but cumulative stent patency did not differ significantly between the gastric carcinoma (median, 350 days) and pancreatic carcinoma (median, 385 days) groups (p = 0.415).
Metallic stent placement was clinically effective in the palliative treatment of gastric outlet obstruction in patients with gastric and pancreatic carcinoma. The two groups differed significantly in the rates of stent collapse and serious complications and patient survival after stent placement.