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dc.contributor.authorLowe, A.S.*
dc.contributor.authorBeckett, C.G.*
dc.contributor.authorJowett, S.*
dc.contributor.authorMay, J.*
dc.contributor.authorStephenson, S.*
dc.contributor.authorScally, Andy J.*
dc.contributor.authorTam, E.*
dc.contributor.authorKay, C.L.*
dc.date.accessioned2014-07-11T16:24:11Z
dc.date.available2014-07-11T16:24:11Z
dc.date.issued2007
dc.identifier.citationLowe, A. S., Beckett, C. G., Jowett, S., May, J., Stephenson, S. Scally, A. J., Tam E. and Kay, C. L. (2007) Self-expandable metal stent placement for the palliation of malignant gastroduodenal obstruction: experience in a large, single, UK centre. Clinical Radiology, 62, (8), 738-744.en_US
dc.identifier.urihttp://hdl.handle.net/10454/6390
dc.description.abstractTo assess the technical success rate, and evaluate the clinical outcome, length of hospital stay, and cost of palliative gastro-duodenal stenting in a single-centre. Materials and methods Eight-seven patients referred for insertion of a gastroduodenal stent between April 1999 and April 2004 were recruited to a non-randomized, before and after intervention study performed in a single centre. Demographic data, diagnosis and symptoms along with clinical and technical outcomes were recorded. Results The technical success rate was 84/87 (96.6%), with inability to traverse the stricture in three patients. No immediate complications were demonstrated. There was marked improvement after stent placement with resolution of symptoms and commencement of dietary intake in 76 patients (87%). Stenting resulted in improved quality of life as reflected by an increase in Karnofsky score from 44/100, to 63/100 post-procedure. Late complications included perforation (n=1), migration (n=1) and stent occlusions due to tumour ingrowth/overgrowth (n=7; mean 165 days). Mean survival was 107 days (range 0¿411 days). Median hospital stay post-stent placement was 5.5 days, (range 1¿55 days) with a majority of patients (75%) discharged home. The mean cost of each treatment episode was £4146 ($7132 $US, ¿6,028 EUROS). Conclusion The present series confirms that combined endoscopic and radiological gastroduodenal stenting is a highly favourable treatment for patients with inoperable malignant gastric outlet obstruction. The results suggest that this minimally invasive procedure has a very high technical success rate, whilst at the same time providing excellent palliation of symptoms with improved quality of life in the majority of patients.en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttp://dx.doi.org/10.1016/j.crad.2007.01.021en_US
dc.subjectSelf-expandable metal stenten_US
dc.subjectPalliative gastro-duodenal stentingen_US
dc.subjectSuccess rateen_US
dc.subjectClinical outcomeen_US
dc.subjectGastroduodenal stenten_US
dc.titleSelf-expandable metal stent placement for the palliation of malignant gastroduodenal obstruction: experience in a large, single, UK centre.en_US
dc.status.refereedyesen_US
dc.typeArticleen_US
dc.type.versionpublished version paperen_US


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