Pyeong Hwa Kim, Presenter: Nothing to Disclose

Ho-Young Song MD, Abstract Co-Author: Nothing to Disclose

Kichang Han, Abstract Co-Author: Nothing to Disclose

Young Jun Kim, Abstract Co-Author: Nothing to Disclose

Han Kyu Na, Abstract Co-Author: Nothing to Disclose

Ye Jin Lee, Abstract Co-Author: Nothing to Disclose

Jin Hyoung Kim MD, Abstract Co-Author: Nothing to Disclose

To evaluate the clinical effectiveness of self-expandable metallic stents in seven patients with malignant gastroduodenal obstruction caused by inoperable hepatocellular carcinoma(HCC). 

Seven patients with gastroduodenal obstruction caused by advanced HCC underwent metallic stent placement from 2003 to 2010. These patients had ECOG performance scores of 2 or 3, Child-Pugh classification B or C, and CLIP scores of 3-5 before stent placement. The data were reviewed retrospectively.

Stent placement was technically successful in all seven patients (100%) and clinically successful in six (86%). Stent-related obstructive jaundice occurred in one patient. No significant stentrelated bleeding occurred. Overall mean survival period was 51 days (range, 10 to 119 days). Three patients were discharged from the hospital with improved ECOG performance score.

Placement of a covered self-expandable metallic stent may offer good palliation in patients with gastroduodenal obstruction due to inoperable HCC.

Stent placement in these patients may improve their quality of life by enabling them to eat normally and by preventing further deterioration of their general condition.

Kim, P, Song, H, Han, K, Kim, Y, Na, H, Lee, Y, Kim, J, Hepatocellular Carcinoma Complicated by Gastroduodenal Obstruction: Palliative Treatment with Metallic Stent Placement.  Radiological Society of North America 2011 Scientific Assembly and Annual Meeting, November 26 - December 2, 2011 ,Chicago IL. http://archive.rsna.org/2011/11034392.html