Gastrointestinal stenting is the current treatment of choice for palliation of symptoms from malignant gastrointestinal obstruction and can also be used as a bridge to surgery.
Stenting has not only been shown to relieve obstruction but also improves nutrition, quality of life and patient prognosis. The technique has been shown to have high technical success and low complication rates. Stent technology has rapidly progressed over the past two decades with a wide variety of different types of stents available for different indications.
Oncology patients can present with multiple and complex symptoms and often are incurable and non-surgical candidates. Previously these patients could not be given a treatment option but with lower profile stent delivery devices, patients can now be effectively palliated even with alternative unconventional approaches, including a percutaneous approach.
• To discuss the role of gastrointestinal stenting with regards to malignant and non-malignant disease
• To discuss the different types of stent available and their roles, applications and indications
• To showcase the technique for insertion of oesophageal, pyloric and colonic stents
• To review and discusses cases including cervical percutaneous colonic stenting
0.5 CPD credit.
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Consultant Interventional Radiologist, Maidstone and Tunbridge Wells NHS Trust
Dr Aidan Shaw completed his specialty training at Guy’s and St Thomas’ Hospitals, where he also trained for two years as an Interventional Radiology Fellow. He attained experience in a wide range of vascular and non-vascular intervention and, during his fellowship, developed a keen interest in gastrointestinal stenting.
He is currently the radiology lead for the Upper GI service at Maidstone and Tunbridge Wells NHS Trust/Kent Oncology Centre, where he performs oesophageal, pyloric/duodenal and colonic stents.
He has authored books as well as book chapters, has been published extensively in a number of international peer-reviewed journals and has won awards and fellowships in the field of surgery and radiology. He has most recently won awards for work on percutaneous colonic stenting and stenting the cervical oesophagus.