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Case Studies | General Surgery | India | Volume 14 Issue 3, March 2025 | Popularity: 4.8 / 10
Study of Re Obstruction after Stenting in Upper GI Malignancies
Dr. C. Priyadharshini, Dr. K. Jeyaramprasath
Abstract: In this prospective study conducted between 2022 and 2023 at Govt Rajaji hospital, maduraithe post operative outcomes of palliative stenting in 29 patients with advanced upper GI malignancies representing with obstructive symptoms areexamined.in my view thr research sheds light on a critical intervention for a vulnerable population primarily older adults (mean age 69.2 yrs) with a notable male predominance (62.1). it is evident that esophageal cancer dominated the cohort (48.3%) reflecting its prevalence in such cases, while the uniform use of uncovered self-expanding metallic stents (SEMS) for all participants suggests a standardized yet contextually apt approach to care. This study reveals an impressive absence of postoperative complications like re-obstructioon or stent migration, which contrast with existing literature and hints at the skill of the procedural team or the rigor of patient selection. Beyond this the rapid resumption of oral intake within 24 hrs and mean hospital stay of just 3.52 days underscore the procedure?s practical benefits. That said the modest survival time (81.1 days) and low quality of life scores (mean WHOQOL -100 OF 41.1) remind us of the terminal nature of the conditions, raising questions about how we might enhance patient well-being beyond mere symptom relief. This suggest that while palliative stenting excels in safety and short term efficacy its role in the broader narrative of end -of-life care warrants deeper exploration.
Keywords: Palliative stenting, upper GI malignancies, postoperative outcomes, esophageal cancer, quality of life
Edition: Volume 14 Issue 3, March 2025
Pages: 1678 - 1687
DOI: https://www.doi.org/10.21275/SR25328172628
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