Services

• Diagnostic Upper GI Endoscopy, Gastroscopy
• Diagnostic Lower GI Endoscopy, Colonoscopy
• Diagnostic Enteroscopy

Therapeutic Upper GI Endoscopy

• Esophageal Stricture Dilatation
• Esophageal Variceal Band Ligation
• Esophageal Polyp Removal
• Gastric Variceal Glue Injection
• APC for Gastric Telangiectasias
• Peptic Ulcer Disease Endoscopic Treatment
• Foreign Body Removal
• Percutaneous Endoscopic Gastrostomy
• Balloon Dilatation for Gastro Outlet Obstruction
• Esophageal Metal Stenting for Advanced Malignancy
• Gastric and Duodenal Stenting for Advanced Malignancy
• Endoscopic Bariatric Balloon Placement

Therapeutic Lower GI Endoscopy (Colonoscopy)

• Colonoscopic Polypectomy
• Colonic Balloon Dilatation
• Colonic Decompression for Colonic Psuedo Obstruction

Interventional ERCP

• Removal of Bile and Pancreatic Duct Stones
• Pancreatic and Bile Duct Stenting
• Intraductal Cholangio-Pancreatoscopy for Large Bile Duct and Pancreatic Duct Stones

Interventional EUS

• Diagnosis and staging of Malignancy, Tissue Diagnosis by FNAC / FNAB
• Pancreatic and Bile Duct Drainage
• Pancreatic Fluid Collection Drainage

Third Space Endoscopy

• POEM
• Endoscopic Mucosal Resection
• Endoscopic Submucosal Dissection

Gastric and Duodenal Stenting for Advanced Malignancy

Gastric and duodenal stenting is a minimally invasive endoscopic procedure used to relieve blockage (obstruction) in the stomach or duodenum caused by advanced cancers. A self-expanding metal stent (SEMS) is placed to open the narrowed area, allowing food to pass through the digestive tract more easily.

Who Needs This Procedure?

Patients with inoperable or advanced cancers such as:

• Stomach (gastric) cancer
• Pancreatic cancer
• Duodenal or periampullary tumors
• Metastatic cancers compressing the duodenum

These malignancies can cause gastric outlet obstruction (GOO), leading to severe nausea, vomiting, and inability to eat.

Symptoms of Gastric or Duodenal Obstruction:

• Persistent vomiting after eating
• Bloating or upper abdominal fullness
• Loss of appetite
• Weight loss and malnutrition
• Dehydration and fatigue

How Is the Procedure Performed?

• The procedure is done using an endoscope under sedation.
• A guidewire is passed through the narrowed area.
• A self-expanding metallic stent is deployed, which expands and holds the blockage open.
• Most patients can start eating soft foods within a day or two.

Benefits of Gastric/Duodenal Stenting:

• Immediate symptom relief
• Improved ability to eat and digest food
• Avoids major surgery in frail or terminally ill patients
• Performed as a day-care or short-stay procedure
• Enhances comfort and quality of life in palliative care

Is It Safe?

Yes, it is a safe and effective procedure with a high success rate. Some patients may experience minor side effects like mild abdominal discomfort or stent migration, but serious complications are rare.

Gastric and duodenal stenting is a compassionate, life-enhancing option for patients with cancer-related gastrointestinal obstruction, helping restore dignity and comfort in advanced disease stages.