TY - JOUR AU - Khan, Hashmatullah AU - Zhining, Fan AU - Ghafoor, Aamer AU - Khattak, Abbas Khan AU - Hassan, Muhammad Kamran PY - 2016/07/19 Y2 - 2024/03/29 TI - PALLIATIVE TREATMENT OF MALIGNANT GASTRIC OUTLET OBSTRUCTION WITH SELF EXPANDABLE METAL STENTS JF - Journal of Postgraduate Medical Institute JA - J Postgrad Med Inst VL - 30 IS - 3 SE - Original Article DO - UR - https://jpmi.org.pk/index.php/jpmi/article/view/1938 SP - AB - Objectives: To determine the technical feasibility and clinical outcome of<br />Self-expandable metal stents (SEMS) to palliate symptoms of malignant gastric<br />outlet obstruction (GOO).<br />Methodology: This was a prospective non-randomized study. It was performed<br />at Jiangsu Province Hospital, Najing China. Duration was one year<br />from april 2015 to 2016. Patients with gastric outlet obstruction caused by unresectable<br />malignancy of stomach, pancreas and duodenum were included in<br />a consecutive manner. Stenting was done under direct endoscopic and fluroscopic<br />visualization and conscious sedation. Only uncovered SEMS were used.<br />We evaluated our technical success rate, Gastric Outlet Obstruction Scoring<br />System (GOOSS) score before and after stent placement, and complications.<br />Results: Total number of patients was 30. Self Expandable Metal Stents (SEMS)<br />were successfully placed in all patients. Thus, technical success rate was100%.<br />29 patients resumed oral intake without vomiting. Clinical success rate was<br />96.7%. There was significant improvement in GOOSS score with stenting (p<br />value&lt;0.05). Only 2 (6.7%) patients had their stents blocked due to tumor<br />ingrowth later in the course of follow-up which was successfully managed by<br />re-stenting.<br />Conclusion: Use of SEMS as a palliative modality for malignant GOO is a feasible,<br />safe and effective method. ER -