Waidmann O, Trojan J, Friedrich-Rust M, Sarrazin C, Bechstein WO, Ulrich F, Zeuzem S, Albert JG. SEMS vs cSEMS in duodenal and small bowel obstruction: High risk of migration in the covered stent group. World J Gastroenterol 2013; 19(37): 6199-6206 [PMID: 24115817 DOI: 10.3748/wjg.v19.i37.6199]
Corresponding Author of This Article
Dr. Jörg Gerhard Albert, Medizinische Klinik 1, Schwerpunkt Gastroenterologie und Hepatologie, Klinikum der Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, D-60590 Frankfurt/Main, Germany. j.albert@med.uni-frankfurt.de
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Brief Article
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Oct 7, 2013; 19(37): 6199-6206 Published online Oct 7, 2013. doi: 10.3748/wjg.v19.i37.6199
SEMS vs cSEMS in duodenal and small bowel obstruction: High risk of migration in the covered stent group
Oliver Waidmann, Jörg Trojan, Mireen Friedrich-Rust, Christoph Sarrazin, Wolf Otto Bechstein, Frank Ulrich, Stefan Zeuzem, Jörg Gerhard Albert
Oliver Waidmann, Jörg Trojan, Mireen Friedrich-Rust, Christoph Sarrazin, Stefan Zeuzem, Jörg Gerhard Albert, Medizinische Klinik 1, Schwerpunkt Gastroenterologie und Hepatologie, Klinikum der Johann Wolfgang Goethe-Universität, D-60590 Frankfurt/Main, Germany
Wolf Otto Bechstein, Frank Ulrich, Klinik für Allgemein und Viszeralchirurgie Klinikum der Johann Wolfgang Goethe-Universität, D-60590 Frankfurt/Main, Germany
Author contributions: Waidmann O and Albert JG designed the research; Waidmann O, Trojan J, Friedrich-Rust M, Sarrazin C, and Albert JG performed the research; Waidmann O, Bechstein WO, Ulrich F, Zeuzem S, and Albert JG analyzed the data; Waidmann O and Albert JG wrote the paper; all authors finally approved the version to be published.
Correspondence to: Dr. Jörg Gerhard Albert, Medizinische Klinik 1, Schwerpunkt Gastroenterologie und Hepatologie, Klinikum der Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, D-60590 Frankfurt/Main, Germany. j.albert@med.uni-frankfurt.de
Telephone: +49-69-63015297 Fax: +49-69-63016247
Received: March 19, 2013 Revised: April 20, 2013 Accepted: June 8, 2013 Published online: October 7, 2013
Core Tip
Core tip: Gastrointestinal obstruction is a complication of advanced cancer disease. It heavily impacts on patients’ general condition. Endoscopic implantation of self-expanding metal stents (SEMS) is a safe and established procedure for palliative treatment of tumor obstruction. Covered SEMS are considered favorable concerning reobstruction by inhibiting tumor ingrowth. In contrast, uncovered SEMS might harbor a lower risk of migration and dislocation. In the present study covered SEMS were retrospectively compared with uncovered SEMS in patients with small bowel or duodenal obstruction. Significantly higher migration rates were observed in the covered SEMS group without observing significant increase of the rate of patients with tumor ingrowth indicating that uncovered SEMS should be favored for palliative treatment of tumor obstruction of the duodenum or the small bowel.
