A Meta‐Analysis of Endoscopic Stenting Versus Surgical Treatment for Malignant Gastric Outlet Obstruction-Reference-Cited by-同舟云学术

A Meta‐Analysis of Endoscopic Stenting Versus Surgical Treatment for Malignant Gastric Outlet Obstruction

Published:2023-03-03 Issue:6 Volume:47 Page:1519-1529
ISSN:0364-2313
Container-title:World Journal of Surgery
language:en
Short-container-title:World j. surg.

Author:

Del Nero Lorenzo¹^ORCID,Sheijani Afscin Djahandideh¹,De Ceglie Antonella²,Bruzzone Marco³,Ceppi Marcello³,Filiberti Rosa Angela³,Siersema Peter¹²³⁴,Conio Massimo¹

Affiliation:

1. Gastroenterology Department, Santa Corona Hospital ASL 2 Savonese Viale 25 Aprile, 38 17027 Pietra Ligure SV Italy

2. Gastroenterology Department, Sanremo General Hospital ASL1 Imperiese Sanremo IM Italy

3. Clinical Epidemiology Unit IRCCS Ospedale Policlinico San Martino Genoa Italy

4. Department of Gastroenterology and Hepatology Radboud University Medical Center Nijmegen Netherlands

Abstract

AbstractBackground and AimSurgical gastrojejunostomy (GJJ) and endoscopic stenting (ES) are the two most available treatments for palliation of malignant gastric obstruction (MGOO). The aim of this study is to compare these two techniques regarding efficacy, safety, time of hospitalization and survival.MethodsWe performed a literature search from January 2010 to September 2020 to identify available randomized controlled studies and observational studies that compared ES and GJJ for the treatment of MGOO.ResultsA total of 17 studies were found. ES and GJJ showed similar technical and clinical success rate. ES was superior to obtain early oral re‐feeding, shorter length of hospitalization and a lower incidence of complications than GJJ. Surgical palliation had a lower recurrence rate of obstructive symptoms and longer overall survival than ES.ConclusionsBoth procedures have advantages and disadvantages. Probably we should not find the best palliation but the best approach based on the patient characteristics and tumor type.

Publisher

Wiley

Subject

Surgery

Link

https://link.springer.com/content/pdf/10.1007/s00268-023-06944-3.pdf

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