Stent placement versus surgical palliation for adults with malignant gastric outlet obstruction

The Cochrane Database of Systematic Reviews
Emma UpchurchRoberto Cirocchi

Abstract

Malignant gastric outlet obstruction is the clinical and pathological consequence of cancerous disease causing a mechanical obstruction to gastric emptying. It usually occurs when malignancy is at an advanced stage; therefore, people have a limited life expectancy. It is of paramount importance to restore oral intake to improve quality of life for the person in a manner that has a minimal risk of complications and a short recovery period. To assess the benefits and harms of endoscopic stent placement versus surgical palliation for people with symptomatic malignant gastric outlet obstruction. In May 2018 we searched the Cochrane Central Register of Controlled Trials, Ovid MEDLINE, Ovid Embase and Ovid CINAHL. We screened reference lists from included studies and review articles. We included randomised controlled trials comparing stent placement with surgical palliation for people with gastric outlet obstruction secondary to malignant disease. Two review authors independently extracted study data. We calculated the risk ratio (RR) with 95% confidence intervals (CI) for binary outcomes, mean difference (MD) or standardised mean difference (SMD) with 95% CI for continuous outcomes and the hazard ratio (HR) for time-to-event outcome...Continue Reading

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Citations

Oct 8, 2019·The American Journal of Gastroenterology·Yervant Ichkhanian, Mouen A Khashab
Jun 15, 2021·World Journal of Gastrointestinal Surgery·Maria Vitória Cury Vieira ScatimburgoEduardo Guimarães Hourneaux de Moura
Aug 7, 2021·World Journal of Gastrointestinal Surgery·Sebastian StefanovicDennis Yang
Dec 1, 2020·GE Portuguese Journal of Gastroenterology·Francisco Baldaque-Silva

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