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Palliativ kirurgisk behandling af malign obstruktion i ventriklen
Engelsk titel: Palliative treatment of malignant gastric outlet obstruction Läs online Författare: Wurtz, Helene Juul ; Ainsworth, Alan Patrick Språk: Dan Antal referenser: 26 Dokumenttyp: Översikt UI-nummer: 16127189

Tidskrift

Ugeskrift for Laeger 2016;178(19)1803-26 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

In gastric outlet obstruction (GOO) the passage from the stomach to the intestine is obstructed. The condition is referred to as malignant GOO if cancer is the reason. Self-expanding metal stents (SEMS) and gastrojejunostomy (GEA) are the therapeutic options for palliation, with SEMS often being recommended as first choice. However, no major difference in terms of clinical success has been shown between SEMS and GEA in comparative studies. Thus, the choice between SEMS and GEA should be made on an individual basis. If SEMS is chosen, covered and uncovered stents offer equal success rates.