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Effectiveness of self-expanding metal stents for malignant antropyloric and duodenal obstruction with a comparison between covered and uncovered stents
DC Field | Value | Language |
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dc.contributor.author | 박정엽 | - |
dc.contributor.author | 방승민 | - |
dc.contributor.author | 송시영 | - |
dc.contributor.author | 이용찬 | - |
dc.contributor.author | 김홍정 | - |
dc.contributor.author | 박승우 | - |
dc.date.accessioned | 2015-05-19T17:29:48Z | - |
dc.date.available | 2015-05-19T17:29:48Z | - |
dc.date.issued | 2008 | - |
dc.identifier.issn | 0172-6390 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/108256 | - |
dc.description.abstract | BACKGROUND/AIMS: We evaluated overall clinical outcomes when self-expanding metal stents were used to treat malignant gastroduodenal obstruction; we also evaluated the differences in technical feasibility, effectiveness, and outcomes between covered and uncovered stents. METHODOLOGY: We reviewed 134 patients who underwent endoscopic treatment for malignant antropyloric and duodenal obstructions with self-expanding metal stents. RESULTS: In all but two cases, the procedures were successful in restoring passage through the obstruction. Forty-two patients (31.8%) experienced stent failure during the follow-up period (23/79 (29.1%) with uncovered stents, 19/53 (35.8%) with covered stents). Stent migration was the most common cause for failure in covered stents (73.7%), while tumor ingrowth was the most common cause in uncovered stents (52.2%). The median technical survival in the uncovered stent group was similar to covered stent group (253 days vs. 247 days, p>0.05). Improvement of oral intake was associated with improvement in performance score, which was significantly improved following stent insertion (p<0.05). In addition, patients whose performance score was improved by stenting had better survival than those who did not (median survival 173 days vs. 74 days, p<0.05). CONCLUSIONS: Endoscopic stenting for malignant gastroduodenal obstruction appears to be an effective therapeutic modality in terminally ill patients, irrespective of the type of stent. Improvement in stent technology will improve patients' oral intake, which in turn will improve patients' quality of life and survival rate. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 2091~2095 | - |
dc.relation.isPartOf | HEPATO-GASTROENTEROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Digestive System Neoplasms/complications | - |
dc.subject.MESH | Duodenal Obstruction/etiology | - |
dc.subject.MESH | Duodenal Obstruction/mortality | - |
dc.subject.MESH | Duodenal Obstruction/therapy* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Gastric Outlet Obstruction/therapy | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Karnofsky Performance Status | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Prosthesis Design | - |
dc.subject.MESH | Quality of Life | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Stents* | - |
dc.title | Effectiveness of self-expanding metal stents for malignant antropyloric and duodenal obstruction with a comparison between covered and uncovered stents | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Bang S | - |
dc.contributor.googleauthor | Kim HJ | - |
dc.contributor.googleauthor | Park JY | - |
dc.contributor.googleauthor | Park YS | - |
dc.contributor.googleauthor | Kim MH | - |
dc.contributor.googleauthor | Park SW | - |
dc.contributor.googleauthor | Lee' YC | - |
dc.contributor.googleauthor | Song SY | - |
dc.identifier.doi | 19260483 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01647 | - |
dc.contributor.localId | A01786 | - |
dc.contributor.localId | A02035 | - |
dc.contributor.localId | A02988 | - |
dc.contributor.localId | A01195 | - |
dc.contributor.localId | A01551 | - |
dc.relation.journalcode | J00984 | - |
dc.identifier.pmid | 19260483 | - |
dc.subject.keyword | Adult | - |
dc.subject.keyword | Aged | - |
dc.subject.keyword | Aged, 80 and over | - |
dc.subject.keyword | Digestive System Neoplasms/complications | - |
dc.subject.keyword | Duodenal Obstruction/etiology | - |
dc.subject.keyword | Duodenal Obstruction/mortality | - |
dc.subject.keyword | Duodenal Obstruction/therapy* | - |
dc.subject.keyword | Female | - |
dc.subject.keyword | Gastric Outlet Obstruction/therapy | - |
dc.subject.keyword | Humans | - |
dc.subject.keyword | Karnofsky Performance Status | - |
dc.subject.keyword | Male | - |
dc.subject.keyword | Middle Aged | - |
dc.subject.keyword | Prosthesis Design | - |
dc.subject.keyword | Quality of Life | - |
dc.subject.keyword | Retrospective Studies | - |
dc.subject.keyword | Stents* | - |
dc.contributor.alternativeName | Park, Jeong Youp | - |
dc.contributor.alternativeName | Bang, Seung Min | - |
dc.contributor.alternativeName | Song, Si Young | - |
dc.contributor.alternativeName | Lee, Yong Chan | - |
dc.contributor.alternativeName | Kim, Hong Jeoung | - |
dc.contributor.alternativeName | Park, Seung Woo | - |
dc.contributor.affiliatedAuthor | Park, Jeong Youp | - |
dc.contributor.affiliatedAuthor | Bang, Seung Min | - |
dc.contributor.affiliatedAuthor | Song, Si Young | - |
dc.contributor.affiliatedAuthor | Lee, Yong Chan | - |
dc.contributor.affiliatedAuthor | Kim, Hong Jeoung | - |
dc.contributor.affiliatedAuthor | Park, Seung Woo | - |
dc.rights.accessRights | not available | - |
dc.citation.volume | 55 | - |
dc.citation.number | 88 | - |
dc.citation.startPage | 2091 | - |
dc.citation.endPage | 2095 | - |
dc.identifier.bibliographicCitation | HEPATO-GASTROENTEROLOGY, Vol.55(88) : 2091-2095, 2008 | - |
dc.identifier.rimsid | 35289 | - |
dc.type.rims | ART | - |
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