Covered metallic stents with an anti-migration design vs. Uncovered stents for the palliation of malignant gastric outlet obstruction: A multicenter, randomized trial

American Journal of Gastroenterology

Volumn 110, Issue 10, 2015, Pages 1440-1449

  Lee, Hyuk ^a   Min, Byung Hoon ^a   Lee, Jeong Hoon ^b   Shin, Cheol Min ^c   Kim, Younjoo ^d   Chung, Hyunsoo ^e   Lee, Sang Hyub ^f  

^a Samsung Medical Center   (South Korea)

^b University of Ulsan College of Medicine   (South Korea)

^c Seoul National University Bundang Hospital   (South Korea)

^d Korea Cancer Center Hospital   (South Korea)

^e Yonsei University College of Medicine   (South Korea)

^f NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADENOCARCINOMA; AGED; CLINICAL TRIAL; COMPARATIVE STUDY; COMPLICATION; CONTROLLED STUDY; DEVICES; EQUIPMENT DESIGN; FEMALE; FOREIGN-BODY MIGRATION; GASTRIC OUTLET OBSTRUCTION; GASTROSCOPY; HUMAN; MALE; MIDDLE AGED; MULTICENTER STUDY; PALLIATIVE THERAPY; PROCEDURES; RANDOMIZED CONTROLLED TRIAL; SELF EXPANDABLE METALLIC STENT; STENT; STOMACH NEOPLASMS; TREATMENT OUTCOME;

ADENOCARCINOMA; AGED; EQUIPMENT DESIGN; FEMALE; FOREIGN-BODY MIGRATION; GASTRIC OUTLET OBSTRUCTION; GASTROSCOPY; HUMANS; MALE; MIDDLE AGED; PALLIATIVE CARE; SELF EXPANDABLE METALLIC STENTS; STENTS; STOMACH NEOPLASMS; TREATMENT OUTCOME;

EID: 85027941549     PISSN: 00029270     EISSN: 15720241     Source Type: Journal    
DOI: 10.1038/ajg.2015.286     Document Type: Article

References (33)

1. Baron TH. Expandable metal stents for the treatment of cancerous obstruction of the gastrointestinal tract. N Engl J Med 2001;344:1681-7.
2. Dormann A, Meisner S, Verin N et al. Self-expanding metal stents for gastroduodenal malignancies: systematic review of their clinical effectiveness. Endoscopy 2004;36:543-50.
3. Yim HB, Jacobson BC, Saltzman JR et al. Clinical outcome of the use of enteral stents for palliation of patients with malignant upper GI obstruction. Gastrointest Endosc 2001;53:329-32.
4. Brimhall B, Adler DG. Enteral stents for malignant gastric outlet obstruction. Gastrointest Endosc Clin N Am 2011;21:389-403.
5. Jeurnink SM, Steyerberg EW, van Hooft JE et al. Surgical gastrojejunostomy or endoscopic stent placement for the palliation of malignant gastric outlet obstruction (SUSTENT study): a multicenter randomized trial. Gastrointest Endosc 2010;71:490-9.
6. Jeurnink SM, van Eijck CH, Steyerberg EW et al. Stent versus gastrojejunostomy for the palliation of gastric outlet obstruction: a systematic review. BMC Gastroenterol 2007;7:18.
7. Piesman M, Kozarek RA, Brandabur JJ et al. Improved oral intake after palliative duodenal stenting for malignant obstruction: a prospective multicenter clinical trial. Am J Gastroenterol 2009;104:2404-11.
8. Kim GH, Kang DH, Lee DH et al. Which types of stent, uncovered or covered, should be used in gastric outlet obstructions? Scand J Gastroenterol 2004;39:1010-4.
9. van den Berg MW, Haijtink S, Fockens P et al. First data on the Evolution duodenal stent for palliation of malignant gastric outlet obstruction (DUOLUTION study): a prospective multicenter study. Endoscopy 2013;45:174-81.
10. van Hooft JE, Uitdehaag MJ, Bruno MJ et al. Efficacy and safety of the new WallFlex enteral stent in palliative treatment of malignant gastric outlet obstruction (DUOFLEX study): a prospective multicenter study. Gastrointest Endosc 2009;69:1059-66.
11. van Hooft JE, van Montfoort ML, Jeurnink SM et al. Safety and efficacy of a new non-foreshortening nitinol stent in malignant gastric outlet obstruction (DUONITI study): a prospective, multicenter study. Endoscopy 2011;43:671-5.
12. Jung GS, Song HY, Kang SG et al. Malignant gastroduodenal obstructions: treatment by means of a covered expandable metallic stent-initial experience. Radiology 2000;216:758-63.
13. Kim CG, Choi IJ, Lee JY et al. Covered vs. uncovered self-expandable metallic stents for palliation of malignant pyloric obstruction in gastric cancer patients: a randomized, prospective study. Gastrointest Endosc 2010;72:25-32.
14. Pan YM, Pan J, Guo LK et al. Covered vs. uncovered self-expandable metallic stents for palliation of malignant gastric outlet obstruction: a systematic review and meta-analysis. BMC Gastroenterol 2014;14:170.
15. Lim SG, Kim JH, Lee KM et al. Conformable covered vs. uncovered self-expandable metallic stents for palliation of malignant gastroduodenal obstruction: a randomized prospective study. Dig Liver Dis 2014;46:603-8.
16. Maetani I, Mizumoto Y, Shigoka H et al. Placement of a triple-layered covered versus uncovered metallic stent for palliation of malignant gastric outlet obstruction: a multicenter randomized trial. Dig Endosc 2014;26:192-9.
17. Jeong JY, Han JK, Kim AY et al. Fluoroscopically guided placement of a covered self-expandable metallic stent for malignant antroduodenal obstructions: preliminary results in 18 patients. AJR Am J Roentgenol 2002;178:847-52.
18. Lee KM, Choi SJ, Shin SJ et al. Palliative treatment of malignant gastroduodenal obstruction with metallic stent: prospective comparison of covered and uncovered stents. Scand J Gastroenterol 2009;44:846-52.
19. Adler DG, Baron TH. Endoscopic palliation of malignant gastric outlet obstruction using self-expanding metal stents: experience in 36 patients. Am J Gastroenterol 2002;97:72-8.
20. Kim SY, Song HY, Kim JH et al. Bridging across the ampulla of Vater with covered self-expanding metallic stents: is it contraindicated when treating malignant gastroduodenal obstruction? J Vasc Interv Radiol 2008;19: 1607-13.
21. Abraha I, Cherubini A, Cozzolino F et al. Deviation from intention to treat analysis in randomised trials and treatment effect estimates: meta-epidemiological study. Br Med J 2015;350:h2445.
22. Abraha I, Montedori A. Modified intention to treat reporting in randomised controlled trials: systematic review. Br Med J 2010;340:c2697.
23. Cho YK, Kim SW, Hur WH et al. Clinical outcomes of self-expandable metal stent and prognostic factors for stent patency in gastric outlet obstruction caused by gastric cancer. Dig Dis Sci 2010;55:668-74.
24. Kim CG, Park SR, Choi IJ et al. Effect of chemotherapy on the outcome of self-expandable metallic stents in gastric cancer patients with malignant outlet obstruction. Endoscopy 2012;44:807-12.
25. Telford JJ, Carr-Locke DL, Baron TH et al. Palliation of patients with malignant gastric outlet obstruction with the enteral Wallstent: outcomes from a multicenter study. Gastrointest Endosc 2004;60:916-20.
26. Sasaki T, Isayama H, Maetani I et al. Japanese multicenter estimation of WallFlex duodenal stent for unresectable malignant gastric outlet obstruction. Dig Endosc 2013;25:1-6.
27. van Hooft J, Mutignani M, Repici A et al. First data on the palliative treatment of patients with malignant gastric outlet obstruction using the WallFlex enteral stent: a retrospective multicenter study. Endoscopy 2007;39:434-9.
28. Sato T, Hara K, Mizuno N et al. Gastroduodenal stenting with Niti-S stent: long-term benefits and additional stent intervention. Dig Endosc 2015;27:121-9.
29. Maetani I, Ukita T, Nambu T et al. Comparison of ultraflex and niti-s stents for palliation of unresectable malignant gastroduodenal obstruction. Dig Endosc 2010;22:83-9.
30. Isayama H, Sasaki T, Nakai Y et al. Management of malignant gastric outlet obstruction with a modified triple-layer covered metal stent. Gastrointest Endosc 2012;75:757-63.
31. Kim YW, Choi CW, Kang DH et al. A double-layered (comvi) self-expandable metal stent for malignant gastroduodenal obstruction: a prospective multicenter study. Dig Dis Sci 2011;56:2030-6.
32. Havemann MC, Adamsen S, Wojdemann M. Malignant gastric outlet obstruction managed by endoscopic stenting: a prospective single-centre study. Scand J Gastroenterol 2009;44:248-51.
33. van den Berg MW, Walter D, Vleggaar FP et al. High proximal migration rate of a partially covered "big cup" duodenal stent in patients with malignant gastric outlet obstruction. Endoscopy 2014;46:158-61.