CardioVascular and Interventional Radiology

, Volume 24, Issue 1, pp 25–30 | Cite as

Palliation of postoperative gastrointestinal anastomotic malignant strictures with flexible covered metallic stents: Preliminary results

  • Jeong-Min LeeEmail author
  • Young Min Han
  • Sang Yong Lee
  • Chong Soo Kim
  • Doo Hyun Yang
  • Seung Ok Lee
Clinical Investigations


Purpose: To evaluate the efficacy of the placement of covered metallic stents for palliation of gastrointestinal anastomotic strictures secondary to recurrent gastric cancer.

Methods: Under fluoroscopic guidance, placement of one or two self-expandable covered metallic stents was attempted perorally in 11 patents (aged 48-76 years) with anastomotic stenoses due to recurrent gastric malignancies. The strictures involved both the afferent and efferent loops in three patients. All patients had poor peroral food intake with severe nausea and vomiting after ingestion. The technical and clinical success was evaluated.

Results: Placement of the covered stent was technically successful in 13 of 15 (87%) attempts in ten patients. After the procedure, 9 of 11 (82%) patients overall were able to ingest at least a liquid diet and had markedly decreased incidence of vomiting. During the follow-up of 2–31 weeks (mean 8.5 weeks) there were no major complications.

Conclusion: These preliminary results suggest that flexible, covered stents may provide effective palliation of malignant anastomotic stricture secondary to recurrent gastric cancer.

Key words

Stenosis or obstruction Stomach Intestine Gastrointestinal tract, interventional procedure 


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Copyright information

© Springer-Verlag New York, Inc 2001

Authors and Affiliations

  • Jeong-Min Lee
    • 1
    Email author
  • Young Min Han
    • 1
  • Sang Yong Lee
    • 1
  • Chong Soo Kim
    • 1
  • Doo Hyun Yang
    • 2
  • Seung Ok Lee
    • 3
  1. 1.Department of Diagnostic RadiologyChonbuk National University HospitalChonbukKorea
  2. 2.Department of General SurgeryChonbuk National University HospitalChonbukKorea
  3. 3.Department of internal MedicineChonbuk National University HospitalChonbukKorea

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