Abstract
A selfexpandable metalic stenting (SEMS) was performed in 12 cases of gastro-duodenal malignant stenosis from 1998 to 2001. Expanding of stenosis was successful in all cases. Improvement of subjective symptoms and food intake, maintenance of good quality of life (QOL), and shortening of hospitalization period were noted. Furthermore as complications after stenting, one case of septic shock, two cases of migration, one case of remaining of nausea and vomiting, one case of abdominal discomfort were experienced. As a measure for complication after stenting, in infective case of antibiotics with focus infection, and in case with long stenosis section, careful consideration in selection of stenting case in neccessary. And in ineffective case of chemotherapy, it is neccessary to use covered stent. Moreover in case of remainning stenosis after stenting, aggressive expanding of stenosis (stent in stent) is neccessary.
