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Clinical outcomes and patency of self-expanding metal stents in patients with malignant upper gastrointestinal obstruction

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dc.contributor.authorIm, Jong Pil-
dc.contributor.authorKang, Jung Mook-
dc.contributor.authorKim, Sang Gyun-
dc.contributor.authorKim, Joo Sung-
dc.contributor.authorJung, Hyun Chae-
dc.contributor.authorSong, In Sung-
dc.date.accessioned2010-07-04T23:46:06Z-
dc.date.available2010-07-04T23:46:06Z-
dc.date.issued2007-09-07-
dc.identifier.citationDig Dis Sci. 53(4):938-945en
dc.identifier.issn0163-2116 (Print)-
dc.identifier.issnhttp://dx.doi.org/10.1007/s10620-007-9967-1-
dc.identifier.issnhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17805967-
dc.identifier.issnhttp://www.springerlink.com/content/m04m50k8n44u4607/fulltext.pdf-
dc.identifier.urihttp://hdl.handle.net/10371/68208-
dc.description.abstractThis study was performed to evaluate clinical outcomes and factors associated with patency of self-expanding metal stents (SEMS) in patients with malignant upper gastrointestinal (UGI) obstruction. In 83 patients with malignant UGI obstruction, 118 SEMS placements were performed. Obstruction sites were esophagus/gastro-esophageal junction (GEJ) and gastric outlet (GO) in 41 and 42 patients, respectively. Technical success was achieved in 99.2% and clinical success in 90.5%, with no procedure-related complications. Re-obstruction and migration occurred in 38.1% during a mean follow-up of 137 days; both occurred significantly more often with GO than esophageal/GEJ obstruction (49.2% vs 23.9%). Patency rates of esophageal/GEJ obstruction were 93.5, 78.1 and 67.0% at 30, 90 and 180 days, respectively, and were significantly higher than those of GO obstruction-71.7, 51.8 and 32.5%. Palliative chemotherapy or radiation therapy was not associated with stent patency. Endoscopic SEMS placement is a safe and effective palliative treatment for malignant UGI obstruction, and complications or stent patency differed according to obstruction site.en
dc.language.isoenen
dc.publisherSpringer Verlagen
dc.subjectAgeden
dc.subjectCohort Studiesen
dc.subjectEquipment Designen
dc.subject*Esophagogastric Junctionen
dc.subjectFemaleen
dc.subjectGastric Outlet Obstruction/*etiology/pathology/*surgeryen
dc.subjectGastrointestinal Neoplasms/mortality/*pathology/surgeryen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMetalsen
dc.subjectMiddle Ageden
dc.subjectRetrospective Studiesen
dc.subjectRisk Factorsen
dc.subject*Stentsen
dc.subjectTreatment Outcomeen
dc.titleClinical outcomes and patency of self-expanding metal stents in patients with malignant upper gastrointestinal obstructionen
dc.typeArticleen
dc.contributor.AlternativeAuthor임종필-
dc.contributor.AlternativeAuthor강정묵-
dc.contributor.AlternativeAuthor김상균-
dc.contributor.AlternativeAuthor김주성-
dc.contributor.AlternativeAuthor정현채-
dc.contributor.AlternativeAuthor송인성-
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
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