Fracture of self-expandable metallic stent inserted for unresectable gastric cancer at the esophagogastric junction: successful retrieval of distal fragment by gastrotomy

Author(s):  
Masaaki Urade ◽  
Daiki Kimura ◽  
Toshifumi Shinbo ◽  
Shinichiro Hirokawa
2016 ◽  
pp. 388-407
Author(s):  
Hideaki Bando ◽  
Takahiro Kinoshita ◽  
Yasutoshi Kuboki ◽  
Atsushi Ohtsu ◽  
Kohei Shitara

This chapter covers gastric cancers, beginning with epidemiology and molecular biology, including the association between Helicobacter pylori infection and gastric cancer, and other genetic and environmental causes. The role of surgical therapy in the treatment of gastric cancer including staging and resection with curative intent is presented. The medical management of gastric cancer is discussed, including adjuvant therapy after curative surgery and systemic treatment for palliation of metastatic disease, taking into account the differing biology and treatments in the East and West. The use of the first biologics in gastric cancer, trastuzumab and ramucirumab, and their mechanisms of action are described. Various modes of palliation of symptoms in patients with advanced gastric cancer include: gastrojejunostomy, endoscopic placement of a self-expandable metallic stent for gastric stenosis or obstruction, and pain control with pain medications and radiotherapy.


2009 ◽  
Vol 24 (8) ◽  
pp. 1358-1364 ◽  
Author(s):  
Takaya Shimura ◽  
Hiromi Kataoka ◽  
Makoto Sasaki ◽  
Tomonori Yamada ◽  
Kazuki Hayashi ◽  
...  

1999 ◽  
Vol 60 (8) ◽  
pp. 2179-2182 ◽  
Author(s):  
Takafumi HIRAO ◽  
Haruhiko IMAMOTO ◽  
Keiji YAMAZAKI ◽  
Mutsumi FUKUNAGA ◽  
Kazuomi KAN ◽  
...  

2013 ◽  
Vol 7 (2) ◽  
pp. 214-218 ◽  
Author(s):  
Takuya Okugawa ◽  
Tadayuki Oshima ◽  
Koichi Ikeo ◽  
Takashi Kondo ◽  
Toshihiko Tomita ◽  
...  

2013 ◽  
Vol 04 (01) ◽  
pp. 013-015
Author(s):  
Arvind Madurandagam Annapillai ◽  
Biggs Saravanan Ramachandran ◽  
Senthilkumar Ponniah ◽  
Hemamala V. ◽  
Kesavan B. ◽  
...  

ABSTRACTEsophagealjejunal anastomotic leak after gastrectomy is a serious surgical emergency with high mortality. This report describes a 57-year-old male with esophagojejunal anastomotic leak following total gastrectomy for gastric cancer and was managed successfully with self-expandable metallic stent. To our knowledge this is the first such report from India. This case report highlights the need of interdisciplinary coordination in managing this difficult clinical situation. Endotherapy with self-expandable metallic stent (SEM) provided twin benefits of improving respiratory embarrassment and the joy of eating. Therapy of such difficult cases must be individualized; however, and SEM stent usage is a viable option (J Dig Endcsc 2013;4(1):13–15)


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