PURPOSE: @entity1084 is a debilitating complication of upper @entity344 . We present our experience with insertion of self-expanding metal stents (SEMS). METHODS: Twenty-eight @entity1 were referred, stenting being attempted in 23. Two @entity1 had esophageal Wallstents inserted through a gastrostomy; 21 had an endoscopic approach with enteral Wallstents. RESULTS: One stent insertion failed, ten @entity1 (45%) returned to a normal diet, ten @entity1 (45%) managed semi-solid food and two @entity1 (9%) had no significant improvement. No immediate complications were seen. One @entity1 subsequently developed @entity788 . Reintervention (4 stents, 1 jejunostomy, 1 gastrojejunostomy) was required in six of 22 @entity1 (27%) for inadequate stent expansion (1), second stricture (2), stent migration (1), and @entity5 ingrowth (2). The mean survival was 95.4 days (SD 78.8 days, range 3-230 days). The mean follow-up time was 98.9 days (SD 86.7 days, range 3-309 days). CONCLUSIONS: SEMS are effective in palliating malignant @entity1084 . A combined endoscopic/fluoroscopic approach allows the most complete assessment of the stricture and removes the need for @entity6740 . Careful assessment of the gastrointestinal tract distal to the lesion is important.

Expandable metal stents for the palliation of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatitis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal malignancy'] @entity6740 :: ('MESH:C538388', 'Disease') :: ['gastrostomy insertion'] @entity1084 :: ('MESH:D017219', 'Disease') :: ['gastric outlet obstruction', 'Gastric outlet obstruction']
@entity5 :: (MESH:D009369,Disease) :: ['malignant gastroduodenal obstruction']
