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World J Gastroenterol. 2018 Oct 28;24(40):4578-4585. doi: 10.3748/wjg.v24.i40.4578.

Self-expandable metal stents in patients with postoperative delayed gastric emptying after distal gastrectomy.

Author information

1
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine, Seoul 02841, South Korea.
2
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Institute of Gastrointestinal Medical Instrument Research, Korea University College of Medicine, Seoul 02841, South Korea. borakeum@hanmail.net.
3
Division of Upper GI Surgery, Department of Surgery, Korea University College of Medicine, Seoul 02841, South Korea.

Abstract

AIM:

To investigate the efficacy and safety of endoscopic stent insertion in patients with delayed gastric emptying after gastrectomy.

METHODS:

In this study, we prospectively collected data from patients who underwent stent placement for delayed gastric emptying (DGE) after distal gastrectomy between June 2010 and April 2017, at a tertiary referral academic center. Clinical improvement, complications, and consequences after stent insertion were analyzed.

RESULTS:

Technical success was achieved in all patients (100%). Early symptom improvement was observed in 15 of 20 patients (75%) and clinical success was achieved in all patients. Mean follow-up period was 1178.3 ± 844.1 d and median stent maintenance period was 51 d (range 6-2114 d). During the follow-up period, inserted stents were passed spontaneously per rectum without any complications in 14 of 20 patients (70%). Symptom improvement was maintained after stent placement without the requirement of any additional intervention in 19 of 20 patients (95%).

CONCLUSION:

Endoscopic stent placement provides prompt relief of obstructive symptoms. Thus, it can be considered an effective and safe salvage technique for post-operative DGE.

KEYWORDS:

Delayed gastric emptying; Gastrectomy; Salvage technique; Self-expandable metal stent; Symptom improvement

PMID:
30386107
PMCID:
PMC6209569
DOI:
10.3748/wjg.v24.i40.4578
[Indexed for MEDLINE]
Free PMC Article

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