5:1. The location of tumors were upper third of the stomach in 11 patients (44%), buy Small molecule library middle third in 5 (20%), and lower third in 9 (36%). The median

size of tumors was 24.1 mm (range: 10–40 mm). The median procedure time was 37.5 minutes (range:10–80 minutes). All lesions were divided into three groups according to the size and mitotic index; very low risk (16/25, 64%), low risk (7/25, 28%, and intermediate risk (2/25, 8%). Complications occurred in 5 patients (20%) including microperforation (n = 4, 16%) and delayed bleeding (n = 1, 5%). Five patients underwent sequential wedge resection of stomach because of microperforation and noncurative resection, and the pathologic evaluation revealed residual tumors in 2 patients. There was no recurrence or metastasis occurred during the median follow-up period of 49.9 months (range: 2–108 months). Conclusion: ER of gastric GIST may be a feasible and safe method, on the basis of favorable clinical outcomes. Key Word(s): 1. gastric gastrointestinal stromal tumor(gist); 2. endoscopic resection Presenting Author: KYOUNGWON JUNG Additional Authors: JI YONG AHN, HWOON YONG JUNG, DO HOON KIM, KWI SOOK CHOI, JEONG HOON LEE, KEE WOOK JUNG, KEE DON CHOI, HO JUNE SONG, GIN TSA HDAC datasheet HYUG LEE, JIN HO KIM Corresponding Author: KYOUNG

WON JUNG Affiliations: Asan Medical Center, Asan Medical Center, Asan Medical Center, Asan Medical Center, Asan Medical Center, Asan MCE公司 Medical Center, Asan Medical Center, Asan Medical

Center, Asan Medical Center, Asan Medical Center Objective: Self-expandable metal stents (SEMS) can be used to palliate patients with malignant obstruction. We tried to assess the feasibility and efficacy of self-expandable metal stents (SEMS) for the palliation of malignant obstruction in stomach and duodenum. Methods: During January 2011 to March 2013, 167 patients with gastric or duodenal obstruction due to malignancy underwent endoscopic SEMS insertion at Asan Medical Center. We analyzed technical/clinical outcomes and complications according to the type of stent and the location of obstruction. Results: Among 167 patients (median age was 62 years, men were 97), full covered SEMS was inserted in 13 patients, partial covered SEMS in 60 patients, and uncovered SEMS in 87 patients. The location of obstruction was shown in gastric outlet including duodenal bulb (n = 57), in duodenal 2nd and 3rd portion (n = 87), and in other obstruction of anastomosis site and cardia (n = 23). Technical success was found in 160 of 167 cases (98.8%) and clinical success was in 126 of 160 (78.8%). According to the site and type of stent, clinical success was shown in like these; full covered SEMS (10/13, 76.9%), partial covered SEMS (53/60, 88.3%), and uncovered SEMS (63/87, 72.4%). Clinical success was done in 50 of 56 cases with gastric outlet obstruction (39.7%), in 60 of 83 with duodenal obstruction (47.6%), and in 16 of 21 with other obstruction (12.7%).