Stephensan, S.; Beckett, C. G.; Kay, C. L.
April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA77
Academic Journal
Expanding metal gastroduodenal stents are now being used more commonly to palliate patients with inoperable malignant gastroduodenal obstruction. Surgical bypass has reported success rate in the region of 90%; however it carries a relatively high complication rate of 25-35% and a peri-operative mortality of up to 2%. In conjunction with higher cost and a prolonged hospital stay this method of treatment is not always appropriate, particularly in patients in a poor state of health. Aim of this study is palliation of symptoms and relief of obstruction, so that feeding can continue satisfactorily is the main aim in these patients.


Related Articles

  • Cost of adverse events during hospitalisation significant.  // PharmacoEconomics & Outcomes News;7/1/2006, Issue 506, p7 

    The article discusses research being done on in-hospital adverse events in Australia. It references a study by J. P. Ehsani et al published in the June 5, 2006 issue of the "Medical Journal of Australia." Information is presented on the number of admission episodes evaluated. The average length...

  • Palliative care options can ease strain on EDs, improve care for patients with poor prognoses or difficult symptoms.  // ED Management;Sep2012, Vol. 24 Issue 8, p101 

    The article discusses palliative care as a more suitable option for patients nearing end of life as compared to the triage and stabilization approach of emergency departments (EDs). EDs should lobby for palliative care collaborations as a means to providing individualized, low-cost health care...

  • Factors associated with 30-day readmission and long-term efficacy of enteral stent placement for malignancy. Navaneethan, Udayakumar; Duvuru, Sudhir; Jegadeesan, Ramprasad; Venkatesh, Preethi; Gutierrez, Norma; Hammel, Jeffrey; Kiran, Ravi; Sanaka, Madhusudhan // Surgical Endoscopy;Apr2014, Vol. 28 Issue 4, p1194 

    Background: Readmissions to the hospital within 30 days of discharge (30-day readmission rate) may impact stent use in palliative treatment of cancer. Objective: Our objective was to investigate the incidence of readmission and factors predicting readmissions and long-term outcomes in patients...

  • Preventing Heart Failure Readmissions: Is Your Organization Prepared? Hines, Patricia A.; Yu, Kevin; Randall, Michael // Nursing Economic$;Mar/Apr2010, Vol. 28 Issue 2, p74 

    The article focuses on the implementation of heart failure (HF) readmission reduction strategies in hospitals. It notes that HF is the most frequent reason for rehospitalization and that reducing readmission rates can result in cost savings. It states that changes to payment policies may reduce...

  • Understanding Hospital Admissions Close to the End of Life (ACE) Study. Morris, ZoĆ« Slote; Fyfe, Miranda; Momen, Natalie; Hoare, Sarah; Barclay, Stephen // BMC Health Services Research;2013, Vol. 13 Issue 1, p1 

    Background: Palliative care is a policy priority internationally. In England, policymakers are seeking to develop high quality care for all by focusing on reducing the number of patients who die in acute hospitals. It is argued that reducing 'inappropriate' hospital admissions will lead to an...

  • Digging into Claims Data to Succeed Under Value-Based Payment. Spector, Juliet // Strategic Financial Planning;Spring2014, Vol. 9 Issue 2, p14 

    The article discusses the significance of having a better understanding of claims data for position providers to use and benefit from payment models. It notes the medical and pharmacy-allowed charges contain in claims data which include admission and discharge date, service date and paid date...

  • Palliation of Malignant Gastroduodenal Obstruction with Open Surgical Bypass or Endoscopic Stenting: Clinical Outcome and Health Economic Evaluation. Johnsson, Erik; Thune, Anders; Liedman, Bengt // World Journal of Surgery;Aug2004, Vol. 28 Issue 8, p812 

    Gastroduodenal outlet obstruction is a complication of advanced gastrointestinal malignant disease. In the past it was usually treated by an open surgical bypass procedure. During the last decade, endoscopic self-expandable stents (SEMS) have been used. The aim of this study was to compare these...

  • An audit of long-stay patients in an inner city palliative care centre. Jennings, A.; Naysmith, A. // Palliative Medicine;1999, Vol. 13 Issue 4, p349 

    An audit was carried out of patients with long admissions to a palliative care centre in central London. The records of patients remaining in the centre for more than 28 days were examined to see whether there were particular features characteristic of long-stay patients which could be...

  • Increasing hospital admission rates and economic burden for colorectal cancer in Brazil, 1996-2008.  // Pan American Journal of Public Health;Oct2010, Vol. 28 Issue 4, p244 

    No abstract available.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics