Skip to main content

Fluoroscopy-Guided Peroral Placement of a Self-Expandable Metallic Stent for Malignant Jejunal Obstruction in a Non-surgically Altered Stomach


Malignant small bowel obstruction is a common and distressing complication in advanced cancer patients. Recently, stent placement was reported to be a safe and effective alternative treatment. However, there are only a few case reports associated with stent placement in malignant jejunal obstruction. Furthermore, most patients had a history of gastrectomy before stent placement, which shortens the catheterization pathway. In our case series, we present five cases of malignant proximal jejunal obstruction in a non-surgically altered stomach in the management of fluoroscopy-guided self-expandable metallic stent placement and discuss the interventional management and clinical outcomes.

Level of Evidence

Level 4, Case Series.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2


  1. Ripamonti CI, Easson AM, Gerdes H. Management of malignant bowel obstruction. Eur J Cancer. 2008;44:1105–15.

    Article  Google Scholar 

  2. Tuca A, Guell E, Martinez-Losada E, Codorniu N. Malignant bowel obstruction in advanced cancer patients: epidemiology, management, and factors influencing spontaneous resolution. Cancer Manag Res. 2012;4:159–69.

    Article  Google Scholar 

  3. Paul Olson TJ, Pinkerton C, Brasel KJ, Schwarze ML. Palliative surgery for malignant bowel obstruction from carcinomatosis: a systematic review. JAMA Surg. 2014;149:383–92.

    Article  Google Scholar 

  4. Jung GS, Song HY, Kang SG, Huh JD, Park SJ, Koo JY, et al. Malignant gastroduodenal obstructions: treatment by means of a covered expandable metallic stent—Initial experience. Radiology. 2000;216:758–63.

    CAS  Article  Google Scholar 

  5. Tringali A, Didden P, Repici A, Spaander M, Bourke MJ, Williams SJ, et al. Endoscopic treatment of malignant gastric and duodenal strictures: a prospective, multicenter study. Gastrointest Endosc. 2014;79:66–75.

    Article  Google Scholar 

  6. Park KB, Do YS, Kang WK, Choo SW, Han YH, Suh SW, et al. Malignant obstruction of gastric outlet and duodenum: palliation with flexible covered metallic stents. Radiology. 2001;219:679–83.

    CAS  Article  Google Scholar 

  7. Baron TH, Harewood GC. Enteral self-expandable stents. Gastrointest Endosc. 2003;58:421–33.

    Article  Google Scholar 

  8. Song HY, Shin JH, Lim JO, Kim TH, Lee GH, Lee SK. Use of a newly designed multifunctional coil catheter for stent placement in the upper gastrointestinal tract. J Vasc Interv Radiol. 2004;15:369–73.

    Article  Google Scholar 

  9. Elena RM, Riccardo U, Rossella C, Bizzotto A, Domenico G, Guido C. Current status of device-assisted enteroscopy: technical matters, indication, limits and complications. World J Gastrointest Endosc. 2012;4:453–61.

    Article  Google Scholar 

  10. Lee KM, Choi SJ, Shin SJ, Hwang JC, Lim SG, Jung JY, et al. Palliative treatment of malignant gastroduodenal obstruction with metallic stent: prospective comparison of covered and uncovered stents. Scand J Gastroenterol. 2009;44:846–52.

    Article  Google Scholar 

  11. Nassif T, Prat F, Meduri B, Fritsch J, Choury AD, Dumont JL, et al. Endoscopic palliation of malignant gastric outlet obstruction using self-expandable metallic stents: results of a multicenter study. Endoscopy. 2003;35:483–9.

    CAS  Article  Google Scholar 

  12. Song HY, Jung HY, Park SI, Kim SB, Lee DH, Kang SG, et al. Covered retrievable expandable nitinol stents in patients with benign esophageal strictures: initial experience. Radiology. 2000;217:551–7.

    CAS  Article  Google Scholar 

  13. Profili S, Meloni GB, Bifulco V, Conti M, Feo CF, Canalis GC. Self-expandable metal stents in the treatment of antro-pyloric and/or duodenal strictures. Acta Radiol. 2001;42:176–80.

    CAS  Article  Google Scholar 

  14. Park JH, Lee JH, Song HY, Choi KD, Ryu MH, Yun SC, et al. Over-the-wire versus through-the-scope stents for the palliation of malignant gastric outlet obstruction: a retrospective comparison study. Eur Radiol. 2016;26:4249–58.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Ho-Young Song.

Ethics declarations

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee.

Informed Consent

Informed consent was obtained from all individual participants included in the study. Consent for publication was obtained for every individual person’s data included in the study.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Wang, Z., Park, JH., Kim, K.Y. et al. Fluoroscopy-Guided Peroral Placement of a Self-Expandable Metallic Stent for Malignant Jejunal Obstruction in a Non-surgically Altered Stomach. Cardiovasc Intervent Radiol 42, 145–149 (2019).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI:


  • Malignant small bowel obstruction
  • Self-expandable metallic stent
  • Non-surgically altered stomach
  • Jejunum