XXXX : retrospective comparison of endoscopic and surgical palliative therapy.

@entity1 @entity390 @entity5 @entity1084 @entity1209
INTRODUCTION: Endoscopic stenting (ES) is a minimally invasive alternative to surgical gastroenterostomy (GE) for palliation of @entity5 . This consecutive, retrospective analysis compares the clinical outcome of all @entity1 undergoing ES or GE in the same period. METHODS: ES was performed at the Endoscopy Department, University Hospital Mannheim or at the Interdisciplinary Endoscopy Department, University Hospital Hamburg-Eppendorf. GE was performed at the Surgical Department, University Hospital Mannheim. All palliative ES or GE on @entity1 with @entity5 without earlier gastric resections between January 2001 and April 2007 were evaluated. Main outcome measurements were ability of solid food intake ( @entity1084 score), persistence of @entity1209 (gut function score), length of hospital stay, morbidity, mortality and re-interventions. RESULTS: A total of 44 ES and 43 GE were performed. @entity390 and vomiting--measured by means of the gut function score--persisted in significantly more @entity1 in the GE group than in those who underwent stent placement (p = 0.0102). The @entity1084 score at discharge from the hospital revealed no significant difference in the ability of solid food intake between the groups. The hospital stay was significantly longer in the GE group (p = 0.0003). There was no significant difference in mortality and the rates of complications and re-interventions. CONCLUSION: In this study, ES is a generally equivalent--and in several points superior--alternative to GE for palliation of @entity5 . ES seems to be the less invasive alternative for symptomatic @entity1 . GE has good results in @entity1 with longer survival and can be practiced within abdominal explorations.
