PALLIATION OF OBSTRUCTING GASTRIC-CARCINOMA WITH METAL STENTS THROUGHA GASTROSTOMY

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 surge ry has significant morbidity and mortality. Recently, there have been encouraging reports of self-expanding endoprostheses in obstructing ga strointestinal neoplasms. We report a case of a 70-yr-old woman with i noperable outlet stenosis secondary to a mucinous infiltrating adenoca rcinoma involving nearly the entire stomach, except the anterior wall, which provided a percutaneous access site for gastrostomy and subsequ ently successful management of outlet obstruction with metallic stents , (Am J Gastroenterol 1998;93:991-993, (C) 1998 by Am, Cell. of Gastro enterology).