Govindarajan Krishna Kumar
Department of Pediatric Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.
World J Gastrointest Endosc. 2025 Jan 16;17(1):100472. doi: 10.4253/wjge.v17.i1.100472.
The scope of management of malignant gastric outlet obstruction is ever-expanding. The therapeutic use of endoscopy is gaining popularity not just owing to its technical advancement and satisfactory patient outcomes. With technical success rates close to 96%, stent placement for palliating gastric obstruction has ensured a median survival of about 2 months post-deployment of gastro-duodenal stents. Understanding the correct concept of palliation is the need of the hour in management. Identifying the right patient for palliation, selecting the appropriate intervention and auditing the outcome are vital in delivering optimal care. Also, newer procedures such as endoscopic gastro-enterostomy offer promising outcomes in palliative care.
恶性胃出口梗阻的管理范围正在不断扩大。内镜治疗的应用日益广泛，这不仅得益于其技术进步以及令人满意的患者治疗效果。由于技术成功率接近96%，用于缓解胃梗阻的支架置入术确保了胃十二指肠支架置入术后约2个月的中位生存期。在管理中，理解正确的姑息治疗概念是当下的迫切需求。确定合适的姑息治疗患者、选择恰当的干预措施并对治疗结果进行评估，对于提供最佳护理至关重要。此外，诸如内镜下胃肠造口术等新手术在姑息治疗中也展现出了良好的效果。
