A Multicenter Randomized Controlled Trial of Malignant Gastric Outlet Obstruction: Tailored Partially Covered Stents (Placed Fluoroscopically) versus Standard Uncovered Stents (Placed Endoscopically)

The aim of our study is to compare the efficacy and safety of “outlet-shape” tailored stents with standard stents for the management of distal gastric cancer causing gastric outlet obstructions (GOOs) with varying gastric cavity shapes and sizes. To determine the shape and size of the GOOs, stomach...

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Main Authors: Ding Shi, Feng Ji, Yin-su Bao, Yong-pan Liu
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/309797
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author Ding Shi
Feng Ji
Yin-su Bao
Yong-pan Liu
author_facet Ding Shi
Feng Ji
Yin-su Bao
Yong-pan Liu
author_sort Ding Shi
collection DOAJ
description The aim of our study is to compare the efficacy and safety of “outlet-shape” tailored stents with standard stents for the management of distal gastric cancer causing gastric outlet obstructions (GOOs) with varying gastric cavity shapes and sizes. To determine the shape and size of the GOOs, stomach opacifications were performed using contrast media before stenting. Two basic shapes of the residual cavity of the proximal GOO were observed: cup shaped or approximately cup shaped and funnel shaped or approximately funnel shaped. Other shapes were not found. In the GOO tailored group, the size and shape of the proximal ends of the tailored stent were suited for the residual cavity of the proximal GOO. The tailored stents included large cup-shaped stents and large funnel-shaped stents. GOO tailored covered stents led to less restenosis and reintervention rates compared to standard uncovered stents but with the same survival.
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institution Kabale University
issn 1687-6121
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language English
publishDate 2014-01-01
publisher Wiley
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series Gastroenterology Research and Practice
spelling doaj-art-8cab8a5301ef46d0bf51825ee0ce4ac62025-02-03T01:10:05ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/309797309797A Multicenter Randomized Controlled Trial of Malignant Gastric Outlet Obstruction: Tailored Partially Covered Stents (Placed Fluoroscopically) versus Standard Uncovered Stents (Placed Endoscopically)Ding Shi0Feng Ji1Yin-su Bao2Yong-pan Liu3Department of Gastroenterology, The First People’s Hospital of Yuhang District, No. 369 Yingbing Road, Hangzhou 311100, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Zhejiang University, Hangzhou 310003, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Henan College of Traditional Chinese Medicine, Zhengzhou 450000, ChinaDepartment of Gastroenterology, The First People’s Hospital of Yuhang District, No. 369 Yingbing Road, Hangzhou 311100, ChinaThe aim of our study is to compare the efficacy and safety of “outlet-shape” tailored stents with standard stents for the management of distal gastric cancer causing gastric outlet obstructions (GOOs) with varying gastric cavity shapes and sizes. To determine the shape and size of the GOOs, stomach opacifications were performed using contrast media before stenting. Two basic shapes of the residual cavity of the proximal GOO were observed: cup shaped or approximately cup shaped and funnel shaped or approximately funnel shaped. Other shapes were not found. In the GOO tailored group, the size and shape of the proximal ends of the tailored stent were suited for the residual cavity of the proximal GOO. The tailored stents included large cup-shaped stents and large funnel-shaped stents. GOO tailored covered stents led to less restenosis and reintervention rates compared to standard uncovered stents but with the same survival.http://dx.doi.org/10.1155/2014/309797
spellingShingle Ding Shi
Feng Ji
Yin-su Bao
Yong-pan Liu
A Multicenter Randomized Controlled Trial of Malignant Gastric Outlet Obstruction: Tailored Partially Covered Stents (Placed Fluoroscopically) versus Standard Uncovered Stents (Placed Endoscopically)
Gastroenterology Research and Practice
title A Multicenter Randomized Controlled Trial of Malignant Gastric Outlet Obstruction: Tailored Partially Covered Stents (Placed Fluoroscopically) versus Standard Uncovered Stents (Placed Endoscopically)
title_full A Multicenter Randomized Controlled Trial of Malignant Gastric Outlet Obstruction: Tailored Partially Covered Stents (Placed Fluoroscopically) versus Standard Uncovered Stents (Placed Endoscopically)
title_fullStr A Multicenter Randomized Controlled Trial of Malignant Gastric Outlet Obstruction: Tailored Partially Covered Stents (Placed Fluoroscopically) versus Standard Uncovered Stents (Placed Endoscopically)
title_full_unstemmed A Multicenter Randomized Controlled Trial of Malignant Gastric Outlet Obstruction: Tailored Partially Covered Stents (Placed Fluoroscopically) versus Standard Uncovered Stents (Placed Endoscopically)
title_short A Multicenter Randomized Controlled Trial of Malignant Gastric Outlet Obstruction: Tailored Partially Covered Stents (Placed Fluoroscopically) versus Standard Uncovered Stents (Placed Endoscopically)
title_sort multicenter randomized controlled trial of malignant gastric outlet obstruction tailored partially covered stents placed fluoroscopically versus standard uncovered stents placed endoscopically
url http://dx.doi.org/10.1155/2014/309797
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