Digestive Disease Interventions 2018; 02(01): 033-039
DOI: 10.1055/s-0038-1639364
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

Stent Placement in Surgically Altered Stomach

Jiaywei Tsauo
1   Department of Interventional Therapy, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
Jung-Hoon Park
2   Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul, Korea
,
Xiaowu Zhang
1   Department of Interventional Therapy, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
He Zhao
1   Department of Interventional Therapy, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
Ho-Young Song
2   Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul, Korea
› Author Affiliations

Funding None.
Further Information

Publication History

31 October 2017

05 February 2018

Publication Date:
06 April 2018 (online)

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Abstract

Gastric cancer is one of the most common malignancies and among the leading causes of cancer-related deaths worldwide. Radical gastrectomy has been the mainstay of curative treatment for gastric cancer, but recurrent cancer occurs in a significant number of patients. Patients with recurrent cancer can experience debilitating symptoms due to malignant gastric outlet obstruction (GOO). Self-expandable metallic stent (SEMS) placement is effective and safe for the palliative treatment of malignant GOO. However, the technical difficulty of SEMS placement is higher in patients with recurrent cancer due to the surgically altered stomach. Thorough understanding of the surgically altered anatomy and site of stricture is key to favorable treatment outcomes.