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Abdominal Radiology

, Volume 41, Issue 11, pp 2233–2240 | Cite as

Partially-covered stent placement versus surgical gastrojejunostomy for the palliation of malignant gastroduodenal obstruction secondary to pancreatic cancer

  • Jiaywei Tsauo
  • Moon-Won Yoo
  • Ho-Young SongEmail author
  • Dae Wook Hwang
  • Jung-Hoon Park
  • Min-Hee Ryu
  • Song Cheol Kim
  • Jeong Hoon Lee
  • Kee Don Choi
  • Jin Hyoung Kim
  • Do Hoon Kim
Article

Abstract

Purpose

To compare the outcomes of partially covered self-expandable metallic stent (SEMS) placement with surgical gastrojejunostomy (GJ) in patients with gastroduodenal obstruction caused by pancreatic cancer.

Methods

The medical records of 107 patients with gastroduodenal obstruction caused by pancreatic cancer who underwent fluoroscopic partially covered SEMS placement (n = 75) or surgical GJ (n = 32) at our institution were reviewed.

Results

The technical (100% vs. 100%; P > 0.999) and clinical (98.7% vs. 96.9%; P = 0.511) success rates were similar between the SEMS and GJ group. The mean gastric outlet obstruction scoring system score was higher in the SEMS group at 1 week after treatment (2.3 ± 0.5 vs. 1.2 ± 0.4; P < 0.001) but was similar between the two groups at 1 month (2.7 ± 0.5 vs. 2.8 ± 0.5; P = 0.242). The median hospital stay was shorter in the SEMS group than in the GJ group (7 vs. 14 days; P < 0.001). The overall complication (22.7% vs. 28.1%; P = 0.547) and reintervention (21.3% vs. 25.0%; P = 0.677) rates were similar between the two groups. The median patency (99 vs. 138 days; P = 0.102) and survival (106 vs. 140 days; P = 0.245) were also similar between the two groups.

Conclusion

The outcomes of partially covered SEMS placement seem to be more favorable than surgical GJ in patients with gastroduodenal obstruction caused by pancreatic cancer.

Keywords

Gastric outlet obstruction Pyloric stenosis Pancreatic neoplasms Prostheses and implants 

Notes

Acknowledgments

This work was supported by the Basic Science Research Program through the National Research Foundation of Republic of Korea (NRF) funded by the Ministry of Science, ICT and future Planning (Grant No. NRF2014R1A2A2A04006562) and Asan Institute for Life Sciences (Grant No. ASAN2015666).

Compliance with ethical standards

Conflict of interest

The authors declare that there is no conflict of interest.

Ethical approval

This retrospective study was approved by our institutional review board, and the requirement to obtain written informed consent was waived.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Jiaywei Tsauo
    • 1
  • Moon-Won Yoo
    • 2
  • Ho-Young Song
    • 1
    Email author
  • Dae Wook Hwang
    • 2
  • Jung-Hoon Park
    • 1
  • Min-Hee Ryu
    • 3
  • Song Cheol Kim
    • 2
  • Jeong Hoon Lee
    • 4
  • Kee Don Choi
    • 4
  • Jin Hyoung Kim
    • 1
  • Do Hoon Kim
    • 4
  1. 1.Department of Radiology and Research Institute of Radiology, Asan Medical CenterUniversity of Ulsan College of MedicineSongpa-guRepublic of Korea
  2. 2.Department of Surgery, Asan Medical CenterUniversity of Ulsan College of MedicineSeoulRepublic of Korea
  3. 3.Department of Oncology, Asan Medical CenterUniversity of Ulsan College of MedicineSeoulRepublic of Korea
  4. 4.Department of Gastroenterology, Asan Medical CenterUniversity of Ulsan College of MedicineSeoulRepublic of Korea

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