الفهرس 
Introduction and aim of the workOnly 14 pages are availabe for public view
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Abstract
Background: management of malignant gastrointestinal obstruction presents a significant challenge. Most patients are in a profoundly decompensate state due to underlying malignancy and are not ideal candidates for invasive surgical procedures. In recent years, self expandable metal stents has emerged as an effective and safe, less invasive alternative for the treatment of malignant gastrointestinal obstruction.
Objectives: to assess the palliative of metallic stents in malignant obstruction of GIT, determine the rate of complications, evaluate morbidity and mortality after stent placement, and evaluate safety, feasibility and effectiveness of this technique.
Patients and Methods: here we report a prospective analysis of 37 self expandable metal stents placed for gastro duodenal, colorectal and biliary obstruction in 41 patients at endoscopy unit in EL-Minia university hospital from April 2004 till July 2005 and follow up for one year, as well as review the literature published on self-expandable metal stent.
Results: technical and clinical success rates were approximately 83.75% and 88.75%, respectively. The majority of patients tolerated oral food intake by 36 hours after self-expandable metal stent placement. There were no major complications of perforation, bleeding, or death, except asymptomatic perforation in colorectal group detected at laparotomy. Eleven patients had obstructive symptoms recurrence, which in some cases was successfully managed with additional endoscopic interventions and in others with surgery.
Conclusion: our data confirm self-expandable metal stent efficacy in palliation of malignant gastrointestinal obstruction with lower rates of major complications than previously reported.