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Updated: Jul 16, 2026
07:44
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Endoscopic stenting for malignant gastric outlet obstruction.
Marek Stawowy1, Aksel Kruse, Frank V Mortensen
1Department of Surgical Gastroenterology L, Aarhus University Hospital, Aarhus, Denmark.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|February 24, 2007
Summary
Endoscopic stenting effectively palliates disabling symptoms in patients with malignant upper gastrointestinal obstruction. This minimally invasive procedure improves quality of life and allows for oral intake, offering a safe alternative to surgery.
Area of Science:
- Gastroenterology
- Oncology
- Interventional Endoscopy
Background:
- Malignant upper gastrointestinal obstruction causes severe symptoms and is difficult to treat surgically.
- Endoscopic stenting offers a less invasive palliative option for these patients.
Purpose of the Study:
- To evaluate the outcomes of endoscopic stenting in patients with malignant gastroduodenal obstruction.
- To assess the safety and efficacy of self-expanding metal stents in palliative care.
Main Methods:
- 24 patients with malignant gastroduodenal obstruction underwent endoscopic stenting.
- Self-expanding metal stents were placed under fluoroscopic guidance.
- Patients were followed for symptom improvement, quality of life, and survival.
Main Results:
- All patients experienced improved quality of life and could tolerate at least semi-solid food.
- Median survival after stenting was 6.4 months.
- Complications were infrequent, with one case of perforation and one stent migration.
Conclusions:
- Endoscopic stenting provides significant symptomatic relief for malignant gastroduodenal obstruction.
- The procedure is associated with a low complication rate.
- Stenting is a viable palliative treatment option improving patient outcomes.
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