Related Experiment Video
Updated: Jul 11, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Dual interventional therapy for malignant gastroduodenal obstruction]
Zhong-Min Wang1, Ke-Min Chen, Ju Gong
1Department of Radiology, Luwan Branch of Ruijin Hospital, Shanghai Jiaotong University, Shanghai, 200020, P. R. China. wzm0722@yahoo.com.cn
Dual interventional therapy, combining metallic stents and intra-arterial chemotherapy, safely and effectively treats malignant gastroduodenal obstruction. This approach offers a median survival time of 11.9 months for advanced cases.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Oncology
Context:
- Malignant gastroduodenal obstruction often presents with unresectable primary tumors and distant metastases.
- Current treatments aim to palliate symptoms and improve quality of life.
Purpose:
- To evaluate the clinical safety and efficacy of dual interventional therapy for advanced malignant gastroduodenal obstruction.
- Dual interventional therapy involves metallic stent placement and intra-arterial chemotherapy.
Summary:
- 65 patients with malignant gastroduodenal obstruction received dual interventional therapy.
- All patients had successful stent implantation with no severe adverse events.
- Cumulative survival rates at 12 months were 28%, with a median survival of 11.9 months.
Impact:
- Dual interventional therapy is a safe, feasible, and effective treatment option.
- This approach can temporarily relieve obstructive symptoms and control tumor growth.
- Provides a palliative treatment strategy for advanced malignant gastroduodenal obstruction.
Related Concept Videos
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Peptic Ulcer Disease IV: Management
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...

