ABSTRACT
AIM: to evaluate the safety and effectiveness of self-expandable metal stent placement for malignant gastric outlet obstruction (GOO). METHODS: a retrospective, analytic cohort study at a single, tertiary-care center. RESULTS: thirty-six patients that underwent stent placement for GOO of malignant origin were identified during the study period. Technical success was achieved in 36 (100 %) patients and clinical success was achieved in 31 patients (86.1 %). Before the procedure, 17 (54.8 %) patients had a gastric outlet obstruction score (GOOSS) of 0, which is a complete inability of oral intake. Twenty-three patients were alive 30 days after the procedure, two (8.6 %) patients had a GOOSS of 1, ten (43.3 %) had a GOOSS of 2 and eleven (47.9 %) had a GOOSS of 3. Abdominal pain was present in all 31 patients before the procedure and only seven (22.6 %) patients continued with abdominal pain 24 hours after the procedure. During follow-up, ten (30.3 %) patients developed complications related to the stents and none of them was fatal. Additional therapy due to partial occlusion of the stent was necessary in three patients. The stents functional duration had a median of 72 days (IQR 25-75 15-105 days) and was closely related to overall survival. CONCLUSION: palliative stenting for gastroduodenal obstruction is a safe, feasible and effective therapy to treat patients with malignant gastric outlet obstruction
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Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Duodenal Neoplasms/complications , Duodenal Obstruction/etiology , Duodenal Obstruction/surgery , Endoscopy , Stents , Neoplasm Staging , Treatment Outcome , Retrospective Studies , Cohort StudiesABSTRACT
AIM: to evaluate the safety and effectiveness of self-expandable metal stent placement for malignant gastric outlet obstruction (GOO). METHODS: a retrospective, analytic cohort study at a single, tertiary-care center. RESULTS: thirty-six patients that underwent stent placement for GOO of malignant origin were identified during the study period. Technical success was achieved in 36 (100 %) patients and clinical success was achieved in 31 patients (86.1 %). Before the procedure, 17 (54.8 %) patients had a gastric outlet obstruction score (GOOSS) of 0, which is a complete inability of oral intake. Twenty-three patients were alive 30 days after the procedure, two (8.6 %) patients had a GOOSS of 1, ten (43.3 %) had a GOOSS of 2 and eleven (47.9 %) had a GOOSS of 3. Abdominal pain was present in all 31 patients before the procedure and only seven (22.6 %) patients continued with abdominal pain 24 hours after the procedure. During follow-up, ten (30.3 %) patients developed complications related to the stents and none of them was fatal. Additional therapy due to partial occlusion of the stent was necessary in three patients. The stents functional duration had a median of 72 days (IQR 25-75 15-105 days) and was closely related to overall survival. CONCLUSION: palliative stenting for gastroduodenal obstruction is a safe, feasible and effective therapy to treat patients with malignant gastric outlet obstruction.
Subject(s)
Gastric Outlet Obstruction , Stomach Neoplasms , Cohort Studies , Gastric Outlet Obstruction/etiology , Gastric Outlet Obstruction/surgery , Humans , Palliative Care , Retrospective Studies , Stents , Treatment OutcomeABSTRACT
We report 2 cases of recurrent Campylobacter coli enteritis caused by macrolide- and fluoroquinolone-resistant strains in 2 patients with hypogammaglobulinemia, successfully treated with a prolonged course of fosfomycin-tromethamine with no side effects. Fosfomycin-tromethamine may be a feasible alternative therapy for recurrent enteritis caused by Campylobacter species resistant to first-line drugs.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Campylobacter/drug effects , Campylobacter/pathogenicity , Enteritis/drug therapy , Fosfomycin/therapeutic use , Tromethamine/therapeutic use , Agammaglobulinemia/drug therapy , Aged, 80 and over , Female , Humans , Microbial Sensitivity Tests , Middle AgedABSTRACT
El síndrome de la arteria mesentérica superior (SAMS) se ha propuesto como una causa rara de obstrucción intestinal alta, resultado de la compresión de la tercera porción del duodeno por la disminución del espacio existente entre la aorta y la arteria mesentérica superior. Los principales factores de riesgo asociados son la pérdida de peso importante, las cirugías de corrección de la columna y anormalidades anatómicas congénitas o adquiridas. Su asociación a pancreatitis aguda ha sido descrita en muy pocos casos. Se presenta una revisión crítica de este tema, a propósito de un caso, presuntamente diagnosticado de SAMS y pancreatitis aguda (AU)
Superior mesenteric artery syndrome (SMAS) has been proposed as a rare cause of proximal bowel obstruction resulting from compression of the third portion of the duodenum secondary to narrowing of the space between the aorta and superior mesenteric artery. The main risk factors associated with SMAS are significant weight loss, corrective spinal surgery and congenital or acquired anatomic abnormalities. Its association with acute pancreatitis has been reported in very few cases. We present a critical review of this topic, with the report of a patient allegedly diagnosed of SMAS and acute pancreatitis (AU)
Subject(s)
Humans , Female , Adult , Pancreatitis, Acute Necrotizing/complications , Superior Mesenteric Artery Syndrome/complications , Intestinal Obstruction/etiology , Risk Factors , Cerebral Palsy/complicationsABSTRACT
Superior mesenteric artery syndrome (SMAS) has been proposed as a rare cause of proximal bowel obstruction resulting from compression of the third portion of the duodenum secondary to narrowing of the space between the aorta and superior mesenteric artery. The main risk factors associated with SMAS are significant weight loss, corrective spinal surgery and congenital or acquired anatomic abnormalities. Its association with acute pancreatitis has been reported in very few cases. We present a critical review of this topic, with the report of a patient allegedly diagnosed of SMAS and acute pancreatitis.