PLACEMENT OF DUODENAL METALLIC STENT THROUGH PERCUTANEOUS EXTERNAL GASTROSTOMY FOR MALIGNANT DUODENAL STRICTURE

Abstract

Self-expandable metallic stent (EMS) is considered to be useful for improving the quality of life (QOL) in patients with malignant duodenal stricture. However, the procedure is difficult to perform in severe or lengthy strictures of the duodenum and the standard procedure has not been established yet. Our experience shows that the placement of duodenal metallic stent through percutaneous external gastrostomy (PEG) allows precise stenting and can reduce a procedure-related pain. PEG is useful for decompression in cases of re-stenosis of the duodenum by tumor infiltration.