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

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Abstract

Aim To investigate the effcacy 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 emp tying (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.

Original languageEnglish
Pages (from-to)4578-4585
Number of pages8
JournalWorld Journal of Gastroenterology
Volume24
Issue number40
DOIs
Publication statusPublished - 2018 Oct 28

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Gastric Emptying
Gastrectomy
Stents
Stomach
Post and Core Technique
Self Expandable Metallic Stents
Rectum
Tertiary Care Centers
Maintenance
Safety

Keywords

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

ASJC Scopus subject areas

  • Gastroenterology

Cite this

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title = "Self-expandable metal stents in patients with postoperative delayed gastric emptying after distal gastrectomy",
abstract = "Aim To investigate the effcacy 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 emp tying (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",
author = "Kim, {Seung Han} and Bora Keum and Choi, {Hyuk Soon} and Eun-Sun Kim and Seo, {Yeon Seok} and Jeen, {Yoon Tae} and Lee, {Hong Sik} and Hoon-Jai Chun and Soon-Ho Um and Kim, {Chang Duck} and Sungsoo Park",
year = "2018",
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doi = "10.3748/wjg.v24.i40.4578",
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AU - Kim, Seung Han

AU - Keum, Bora

AU - Choi, Hyuk Soon

AU - Kim, Eun-Sun

AU - Seo, Yeon Seok

AU - Jeen, Yoon Tae

AU - Lee, Hong Sik

AU - Chun, Hoon-Jai

AU - Um, Soon-Ho

AU - Kim, Chang Duck

AU - Park, Sungsoo

PY - 2018/10/28

Y1 - 2018/10/28

N2 - Aim To investigate the effcacy 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 emp tying (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.

AB - Aim To investigate the effcacy 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 emp tying (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.

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