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Gastric Cancer

, Volume 22, Issue 1, pp 231–236 | Cite as

Temporary self-expandable metallic stent placement in post-gastrectomy complications

  • Hyun Jin Oh
  • Chul-Hyun LimEmail author
  • Seung Bae Yoon
  • Han Hee Lee
  • Jin Su Kim
  • Yu Kyung Cho
  • Jae Myung Park
  • Myung-Gyu Choi
Original Article
  • 181 Downloads

Abstract

Background

Self-expandable metallic stents in the upper gastrointestinal tract are used for treating malignant esophageal or gastroduodenal outlet obstructions and fistulas. Recently, self-expandable metallic stent use has been expanded to benign esophageal or gastroduodenal strictures and post-operative complications. However, there is scarce data available regarding efficacy, long-term complications, and outcomes with the use of self-expandable metallic stent in benign disease, especially post-gastrectomy complications.

Methods

Data of 57 patients who underwent upper gastrointestinal tract self-expandable metallic stent insertion for post-operative complications between March 2009 and June 2017 were analyzed. All patients underwent a curative gastrectomy for gastric cancer. Data collected included patient demographics, indication for procedure, type of stent used, complications, and patient outcomes.

Results

Self-expandable metallic stent placement was technically successful in all patients. Of the 57 patients, 33 had self-expandable metallic stent placement for anastomosis site leakage, 12 for anastomosis site refractory stricture, and 12 for obstruction due to angulation. After self-expandable metallic stent placement, symptomatic improvement was achieved in 56 patients (98.2%), among which, three patients (5.4%) had recurrent symptoms, two underwent repeated stent insertion, and one underwent balloon dilatation. After self-expandable metallic stent placement, median time to initiating dietary intake was 6 days (range 1–30 days), and median duration of hospitalization was 13 days (range 3–135 days). At the follow-up (mean 24.6 months), migration was the most commonly reported complication, which developed in 15 (26.3%) patients.

Conclusions

Self-expandable metallic stent placement is an effective and safe treatment for post-gastrectomy anastomosis site leakage, stricture, and obstruction, which can decrease the risk of reoperation related mortality and modalities.

Keywords

Stent Post-gastrectomy complications Gastrointestinal tract 

Notes

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Compliance with ethical standards

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions.

Conflict of interest

The authors declared that they have no conflict of interest.

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Copyright information

© The International Gastric Cancer Association and The Japanese Gastric Cancer Association 2018

Authors and Affiliations

  • Hyun Jin Oh
    • 1
  • Chul-Hyun Lim
    • 2
    Email author
  • Seung Bae Yoon
    • 2
  • Han Hee Lee
    • 2
  • Jin Su Kim
    • 2
  • Yu Kyung Cho
    • 2
  • Jae Myung Park
    • 2
  • Myung-Gyu Choi
    • 2
  1. 1.Center for Cancer Prevention and DetectionNational Cancer CenterGoyangRepublic of Korea
  2. 2.Division of Gastroenterology, Department of Internal Medicine, College of Medicine, Seoul St. Mary’s HospitalThe Catholic University of KoreaSeoulRepublic of Korea

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