Surgical palliation of gastric outlet obstruction in advanced malignancy

doi:10.4240/wjgs.v8.i8.545

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Aug 27, 2016 (publication date) through Feb 17, 2026

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Aug 27, 2016; 8(8): 545-555
Published online Aug 27, 2016. doi: 10.4240/wjgs.v8.i8.545

Surgical palliation of gastric outlet obstruction in advanced malignancy

Brittany A Potz, Thomas J Miner

Brittany A Potz, Thomas J Miner, Department of Surgical Oncology, Warren Alpert Medical School Brown University, Providence, RI 02906, United States

Author contributions: Potz BA and Miner TJ worked on the concept, design, manuscript writing and manuscript review.

Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.

Correspondence to: Thomas J Miner, MD, Department of Surgical Oncology, Warren Alpert Medical School Brown University, 2 Dudley Street, Providence, RI 02906, United States. tminer@usasurg.org

Telephone: +1-401-4210245 Fax: +1-401-8682310

Received: March 26, 2016
Peer-review started: March 26, 2016
First decision: April 19, 2016
Revised: April 30, 2016
Accepted: May 17, 2016
Article in press: May 27, 2016
Published online: August 27, 2016
Processing time: 153 Days and 8.2 Hours

Core Tip

Core tip: Gastric outlet obstruction (GOO) is a common problem associated with advanced malignancies of the upper gastrointestinal tract. Palliative treatment of patients’ symptoms who present with GOO is an important aspect of their care. Surgical palliation of malignancy is defined as a procedure performed with the intention of relieving symptoms caused by an advanced malignancy or improving quality of life. Palliative treatment for GOO includes operative (open and laparoscopic gastrojejunostomy) and non-operative (endoscopic stenting) options. Regardless of the treatment used for relief of symptoms all physicians having end of life conversations with patients should be adequately trained in end of life care to ensure that patients are getting the optimal treatment for their particular circumstances.