Treatment of Incurable Malignant Gastric Outlet Obstruction with Life Expectancy Over 6 Months and Good Performance Status
When malignant gastric outlet obstruction is incurable but the patient has a life expectancy exceeding six months and maintains good performance status, the management priority shifts toward durable, functional restoration of gastric emptying.
Clinical scenario
Incurable malignant gastric outlet obstruction in a patient with life expectancy greater than 6 months and good performance status — a population for whom a long-lasting solution is both feasible and indicated.
Treatment approach
In this scenario, a specific surgical procedure is the preferred intervention. The complete protocol — including the procedure of choice, selection criteria, and how it compares with non-surgical alternatives — is available via the link below.
References
In patients with a life expectancy of >6 months and good performance status, we suggest surgical GJ compared with SEMS placement.
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