Endoscopic stenting versus gastrojejunostomy for palliation of malignant gastric outlet obstruction

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
Bobo ZhengKehu Yang

Abstract

The aim of the present study was to analyze endoscopic stenting versus gastrojejunostomy of malignant gastric outlet obstruction (GOO). A systematic review of the literature was undertaken to analyze clinical trials on GOO. Six studies were eligible for analysis (three randomized control trials and three controlled clinical trials). Technical success (OR [95% CI]: 0.10 [0.02, 0.47]; I(2) = 0%; P = 0.003) and minor complications (OR [95% CI]: 0.28 [0.10, 0.83]; I(2) = 49%; P = 0.02). Time to oral intake and length of survival were also shorter in the endoscopic stenting (ES) group. There was no statistically significant difference in clinical success, length of survival, mortality and major complications. The present review demonstrated potentially improved quality of life in the ES group. ES is a safe and effective, minimally invasive and cost-effective option for palliation of malignant gastric outlet obstruction. The present review provides supportive evidence that ES should be considered as the gold standard treatment for malignant GOO.

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Citations

Nov 22, 2012·Gastrointestinal Endoscopy Clinics of North America·A Aziz Aadam, John A Martin
Jun 12, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Se Woo ParkYong Chan Lee
Jul 5, 2015·Cirugia y cirujanos·Omar Abdel-lah-FernándezAlberto Álvarez-Delgado
Aug 24, 2016·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yousuke NakaiKazuhiko Koike
Oct 30, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Bojan KovacevicJohn Gásdal Karstensen
Dec 21, 2016·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Tsuyoshi HamadaKazuhiko Koike
Sep 21, 2016·World Journal of Gastrointestinal Surgery·Brittany A Potz, Thomas J Miner
Mar 19, 2014·World Journal of Gastrointestinal Endoscopy·Clara Tan-Tam, Stephen W Chung
Feb 1, 2018·Annals of Surgical Oncology·Laura A Lambert, Jason Wiseman
May 31, 2018·The Cochrane Database of Systematic Reviews·Emma UpchurchRoberto Cirocchi
Jan 11, 2019·Clinical Endoscopy·Zaheer Nabi, D Nageshwar Reddy
Jan 23, 2019·Clinical Endoscopy·Zaheer Nabi, D Nageshwar Reddy
May 16, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Gian Eugenio TontiniLuca Elli
Nov 26, 2015·World Journal of Gastroenterology : WJG·Emo E van HalsemaJeanin E van Hooft
Aug 24, 2019·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Chang-Il Kwon
Jun 19, 2020·World Journal of Gastrointestinal Pharmacology and Therapeutics·Su Jin Jeong, Jin Lee
Nov 11, 2020·Gastrointestinal Endoscopy·UNKNOWN ASGE Standards of Practice CommitteeUNKNOWN (ASGE Standards of Practice Committee Chair, 2017-2020)

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