Self-expandable metal stents (SEMSs) have been shown to be safe and effective palliative treatments for malignant gastric outlet obstruction (GOO) [1]. Both covered SEMSs (CSEMSs) and uncovered SEMSs (USEMSs) have been used, with no observable differences in clinical outcomes demonstrated; however, tumor in-growth is a concern with USEMSs, whereas migration is an issue for CSEMSs [2]. We used an endoscopic hand-suturing device to fix a CSEMS that was placed to prevent bleeding from malignant GOO, to avoid stent migration.
No takes yet. Share an insight, caveat, or question.
Shiomi et al. (2024) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: