©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Feb 10, 2016; 8(3): 165-172
Published online Feb 10, 2016. doi: 10.4253/wjge.v8.i3.165
Published online Feb 10, 2016. doi: 10.4253/wjge.v8.i3.165
Treatment of gastric outlet obstruction that results from unresectable gastric cancer: Current evidence
Yasuhiro Miyazaki, Shuji Takiguchi, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita-shi, Osaka 565-0871, Japan
Author contributions: Miyazaki Y, Takiguchi S, Nakajima K, Mori M and Doki Y designed the research; Miyazaki Y, Takiguchi S and Takahashi T performed the research; Kurokawa Y, Makino T and Yamasaki M contributed analytic tools; Kurokawa Y analyzed the data; Miyazaki Y wrote the paper.
Conflict-of-interest statement: The authors declare there is no conflict of interest for this article.
Correspondence to: Shuji Takiguchi, MD, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2-E2, Yamadaoka, Suita, Osaka 565-0871, Japan. stakiguchi@gesurg.med.osaka-u.ac.jp
Telephone: +81-6-68793251 Fax: +81-6-68793259
Received: May 25, 2015
Peer-review started: May 27, 2015
First decision: August 31, 2015
Revised: October 2, 2015
Accepted: December 13, 2015
Article in press: December 14, 2015
Published online: February 10, 2016
Processing time: 250 Days and 22.3 Hours
Peer-review started: May 27, 2015
First decision: August 31, 2015
Revised: October 2, 2015
Accepted: December 13, 2015
Article in press: December 14, 2015
Published online: February 10, 2016
Processing time: 250 Days and 22.3 Hours
Core Tip
Core tip: Both gastrojejunostomy (GJ) and endoscopic stenting (ES) are effective treatments in patients with gastric outlet obstruction that results from gastric cancer. The advantages of GJ include fewer late complications and a long patency, whereas the advantages of ES include better short-term outcomes, including the length of the hospital stay. Although no large-scale randomized clinical trials have compared the safety and efficacy of the two procedures, this present literature review indicates the superiority of GJ compared with ES given its good performance status and improved prognosis in gastric cancer patients as well as the widespread use of the less invasive laparoscopic GJ procedure.