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

CardioVascular and Interventional Radiology volume 42, pages 145–149 (2019)Cite this article

Abstract

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.

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References

  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 

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Author notes

  1. Zhe Wang and Jung-Hoon Park contributed equally to this work.

Authors and Affiliations

  1. Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap 2-dong, Songpa-gu, Seoul, 05505, Republic of Korea

    Zhe Wang, Jung-Hoon Park, Kun Yung Kim, Joonmyeong Choi, Hongtao Hu, Nader Bekheet, Sung Hwan Yoon & Ho-Young Song

  2. Department of Radiology, Tianjin Medical University General Hospital, Anshan Road 154, Heping District, 300052, People’s Republic of China

    Zhe Wang

  3. Department of Minimal-Invasive Intervention, The Affiliated Cancer Hospital of Zhengzhou University, 127 Dongming Road, Zhengzhou city, 450003, Henan Province, China

    Hongtao Hu

  4. Gastrointestinal Endoscopy and Liver Unit, Kasr Al-Ainy, Faculty of Medicine, Cairo University, Cairo, Egypt

    Nader Bekheet

  5. Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olymic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea

    Ho-Young Song

Authors
  1. Zhe Wang
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  2. Jung-Hoon Park
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  3. Kun Yung Kim
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  4. Joonmyeong Choi
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  5. Hongtao Hu
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  6. Nader Bekheet
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  7. Sung Hwan Yoon
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  8. Ho-Young Song
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Corresponding author

Correspondence to Ho-Young Song.

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

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

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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.

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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). https://doi.org/10.1007/s00270-018-2048-3

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  • DOI: https://doi.org/10.1007/s00270-018-2048-3

Keywords

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