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Cited 1 time in webofscience Cited 1 time in scopus
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Self-expandable metal stents in patients with postoperative delayed gastric emptying after distal gastrectomy

Authors
Kim, Seung HanKeum, BoraChoi, Hyuk SoonKim, Eun SunSeo, Yeon SeokJeen, Yoon TaeLee, Hong SikChun, Hoon JaiUm, Soon HoKim, Chang DuckPark, Sungsoo
Issue Date
Oct-2018
Publisher
BAISHIDENG PUBLISHING GROUP INC
Keywords
Self-expandable metal stent; Delayed gastric emptying; Gastrectomy; Salvage technique; Symptom improvement
Citation
WORLD JOURNAL OF GASTROENTEROLOGY, v.24, no.40, pp.4578 - 4585
Indexed
SCIE
SCOPUS
Journal Title
WORLD JOURNAL OF GASTROENTEROLOGY
Volume
24
Number
40
Start Page
4578
End Page
4585
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/3019
DOI
10.3748/wjg.v24.i40.4578
ISSN
1007-9327
Abstract
AIM To investigate the efficacy and safety of endoscopic stent insertion in patients with delayed gastric emptying after gastrectomy. METHODS In this study, we prospectively collected data from patients who underwent stent placement for delayed gastric emptying (DGE) after distal gastrectomy between June 2010 and April 2017, at a tertiary referral academic center. Clinical improvement, complications, and consequences after stent insertion were analyzed. RESULTS Technical success was achieved in all patients (100%). Early symptom improvement was observed in 15 of 20 patients (75%) and clinical success was achieved in all patients. Mean follow-up period was 1178.3 +/- 844.1 d and median stent maintenance period was 51 d (range 6-2114 d). During the follow-up period, inserted stents were passed spontaneously per rectum without any complications in 14 of 20 patients (70%). Symptom improvement was maintained after stent placement without the requirement of any additional intervention in 19 of 20 patients (95%). CONCLUSION Endoscopic stent placement provides prompt relief of obstructive symptoms. Thus, it can be considered an effective and safe salvage technique for post-operative DGE.
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2. Clinical Science > Department of Foregut Surgery > 1. Journal Articles
5. Others > Others(Medicine) > 1. Journal Articles
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

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Keum, Bora
Anam Hospital (Department of Gastroenterology and Hepatology, Anam Hospital)
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