Abstract | BACKGROUND AND AIM: METHODS: We retrospectively analyzed our database of SEMS placement for malignant distal duodenum obstruction between April 2006 and April 2013. All patients underwent SEMS placement using the side-viewing endoscope ( duodenoscope). Main outcomes are technical success, clinical success, complication rates, stent patency, and overall survival. In addition, database from other tertiary center was analyzed, where SEMS insertion was performed with forward-viewing endoscopes ( gastroscope or colonoscope). Success and complication rates were compared with ours. RESULTS: A total of 31 patients were reviewed. Pancreatic cancer was the most common cause (87.1 %). Technical and clinical success was achieved in all cases. Procedure-related complication occurred in one patient, who experienced micro-perforation of the duodenum. The patient improved with conservative treatment. Median duration of stent patency was 125 days (95 % CI 75-175), and median overall survival was 134 days (95 % CI 77-191). Biliary obstruction was present in 12.9 % of patients, who underwent biliary stent placement at the same time without changing endoscopes. In forward-viewing endoscopes group, 15 cases were included. Technical and clinical success was achieved in all cases, and no procedure-related complication occurred. CONCLUSIONS: The insertion of SEMSs to distal duodenum with a duodenoscope could be performed effectively and safely in patients with malignant obstruction.
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Authors | Jin Myung Park, Byung-Hoon Min, Sang Hyub Lee, Kwang Hyun Chung, Jae Min Lee, Byeong Jun Song, Jun Kyu Lee, Ji Kon Ryu, Yong-Tae Kim |
Journal | Digestive diseases and sciences
(Dig Dis Sci)
Vol. 60
Issue 2
Pg. 524-30
(Feb 2015)
ISSN: 1573-2568 [Electronic] United States |
PMID | 25185660
(Publication Type: Journal Article, Video-Audio Media)
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Chemical References |
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Topics |
- Aged
- Databases, Factual
- Duodenal Obstruction
(diagnosis, etiology, therapy)
- Duodenoscopes
- Duodenoscopy
(adverse effects, instrumentation)
- Feasibility Studies
- Female
- Humans
- Kaplan-Meier Estimate
- Male
- Metals
- Middle Aged
- Pancreatic Neoplasms
(complications)
- Prosthesis Design
- Retrospective Studies
- Stents
- Time Factors
- Treatment Outcome
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