Stent vs Gastrojejunostomy for Treating Gastric Outlet Obstruction
Author Information
Author(s): Jeurnink Suzanne M, van Eijck Casper HJ, Steyerberg Ewout W, Kuipers Ernst J, Siersema Peter D
Primary Institution: Erasmus MC/University Medical Center Rotterdam, The Netherlands
Hypothesis
Is stent placement more effective than gastrojejunostomy for palliating gastric outlet obstruction?
Conclusion
Stent placement may provide better short-term results for patients with a shorter life expectancy, while gastrojejunostomy is preferable for those with a longer prognosis.
Supporting Evidence
- Stent placement had a higher initial clinical success rate (89%) compared to gastrojejunostomy (72%).
- Mean hospital stay was shorter after stent placement (7 days) than after gastrojejunostomy (13 days).
- Recurrent obstructive symptoms were more common after stent placement (18%) compared to gastrojejunostomy (1%).
- Technical success rates were similar for both treatments, with stent placement at 96% and gastrojejunostomy at 99%.
Takeaway
Doctors compared two ways to help people with a blocked stomach: one method uses a stent, and the other is a surgery called gastrojejunostomy. The stent might help people feel better faster, but the surgery might be better for those who live longer.
Methodology
A systematic review of literature from January 1996 to January 2006, analyzing 44 studies on stent placement and gastrojejunostomy.
Potential Biases
Potential publication bias and variability in definitions of complications across studies.
Limitations
Limited evidence from small randomized trials and variability in patient populations and stent types used.
Participant Demographics
1046 patients received stents (mean age 64) and 297 underwent gastrojejunostomy (mean age 67).
Statistical Information
P-Value
0.1
Confidence Interval
0.02–2.1
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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