Gastroduodenal obstruction is a preterminal event in patients with advanced malignancies of the stomach, pancreas and duodenum. Surgical gastrojejunostomy has been considered the traditional palliative treatment. The use of metallic stents is intended not to be curative but to provide nonsurgical palliation for the symptoms of obstruction. The advantages of this technique are the minor invasivity, the decrease in morbidity and mortality respect the surgical approach, the patient that can be discharged the day of or the day after the procedure and the better life expectation.