Abstract
Gastric outlet obstruction (GOO) frequently occurs as a late complication of advanced pancreato-biliary cancer. Six patients with pancreato-biliary cancer complicated by GOO were treated by self-expandable metallic stents (SEMS) that is commercially available in Japan from April, 2010. In all patients, SEMS were successfully placed in the stenotic sites of the duodenum. After placing the SEMS, appetite loss, nausea or vomiting were disappeared and all patients could take foods. There was no complication during the observation period. Duodenal stenting by SEMS is safe and useful for GOO by pancreato-biliary cancer. It is considered that the procedure provides a relief of symptoms and enhance quality of life.