D'Altorio R A, Kvamme P
Department of Radiology, Saint Francis Medical Center, Pittsburgh, Pennsylvania 15201, USA.
Am J Gastroenterol. 1998 Jun;93(6):991-3. doi: 10.1111/j.1572-0241.1998.00295.x.
Gastric cancer is the world's second most common malignancy. In the U.S., patients present with advanced disease, and surgery with curative intent accounts for only 30% of gastric malignancies. Palliative surgery has significant morbidity and mortality. Recently, there have been encouraging reports of self-expanding endoprostheses in obstructing gastrointestinal neoplasms. We report a case of a 70-yr-old woman with inoperable outlet stenosis secondary to a mucinous infiltrating adenocarcinoma involving nearly the entire stomach, except the anterior wall, which provided a percutaneous access site for gastrostomy and subsequently successful management of outlet obstruction with metallic stents.
