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CardioVascular and Interventional Radiology

, Volume 35, Issue 5, pp 1129–1135 | Cite as

Hepatocellular Carcinoma Complicated by Gastroduodenal Obstruction: Palliative Treatment with Metallic Stent Placement

  • Ye Jin Lee
  • Jin Hyoung KimEmail author
  • Ho-Young Song
  • Jung-Hoon Park
  • Han Kyu Na
  • Pyeong Hwa Kim
  • Yong Fan
Clinical Investigation

Abstract

Purpose

To evaluate the clinical effectiveness of self-expandable metallic stents in seven patients with malignant gastroduodenal obstruction caused by inoperable hepatocellular carcinoma (HCC).

Methods

Seven patients with gastroduodenal obstruction caused by advanced HCC underwent metallic stent placement from 2003 to 2010. These patients had total dysphagia (n = 5) or were able to eat only liquids (n = 2) before stent placement. Patients had Eastern Cooperative Oncology Group performance scores of 2 or 3, and Child-Pugh classification B or C.

Results

Stent placement was technically successful in all seven patients (100%) and clinically successful in six (86%). Five patients could eat a soft diet, and one patient tolerated regular diet after stent placement. Stent-related obstructive jaundice occurred in one patient. One patient had hematemesis 11 days after stent placement. Overall mean survival was 51 days (range, 10–119 days). Stent patency was preserved in six patients with clinical success until death.

Conclusion

Placement of a covered self-expandable metallic stent may offer good palliation in patients with gastroduodenal obstruction due to advanced HCC.

Keywords

Gastrointestinal Nonvascular interventions Obstruction 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2011

Authors and Affiliations

  • Ye Jin Lee
    • 1
  • Jin Hyoung Kim
    • 1
    Email author
  • Ho-Young Song
    • 1
  • Jung-Hoon Park
    • 1
  • Han Kyu Na
    • 1
  • Pyeong Hwa Kim
    • 1
  • Yong Fan
    • 1
    • 2
  1. 1.Department of Radiology and Research Institute of Radiology, Asan Medical CenterUniversity of Ulsan College of MedicineSeoulRepublic of Korea
  2. 2.Department of RadiologyHaihe HospitalTianjinChina

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