Endoscopic ultrasound-guided gastroenterostomy, with focus on technique and practical tips
Gastric outlet obstruction (GOO) is a condition characterized by a mechanical obstruction of the stomach or duodenum, caused by either benign or malignant disease. Traditionally, surgical gastrojejunostomy (SGJ) has been the standard treatment for malignant GOO and endoscopic stenting (ES) offers a...
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2025-03-01
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| Series: | Clinical Endoscopy |
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| Online Access: | http://e-ce.org/upload/pdf/ce-2024-206.pdf |
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| author | Chi-Ying Yang Wen-Hsin Huang Hsing-Hung Cheng |
| author_facet | Chi-Ying Yang Wen-Hsin Huang Hsing-Hung Cheng |
| author_sort | Chi-Ying Yang |
| collection | DOAJ |
| description | Gastric outlet obstruction (GOO) is a condition characterized by a mechanical obstruction of the stomach or duodenum, caused by either benign or malignant disease. Traditionally, surgical gastrojejunostomy (SGJ) has been the standard treatment for malignant GOO and endoscopic stenting (ES) offers a less invasive option, but it often requires repeat interventions. Recently, endoscopic ultrasound (EUS)-guided gastroenterostomy (EUS-GE), an innovative technique, has been applied as an alternative to SGJ and ES for GOO patients. Direct EUS-GE, device-associated EUS-GE, and EUS-guided double balloon-occluded gastrojejunostomy bypass are the most commonly used techniques with reported technical success rates ranging from 80% to 100%, and clinical success rates between 68% and 100%. Adverse event (AE) rates range from 0% to 28.2% and the stent misdeployment is the most common while other AEs include abdominal pain, bleeding, infection, peritonitis, bowel perforation, gastric leakage, and stent migration. It is clear that EUS-GE may achieve a similar clinical success to SGJ with fewer AEs and a shorter hospital stay. Compared to ES, EUS-GE showed higher clinical success, fewer stent obstructions, and lower reintervention rates. |
| format | Article |
| id | doaj-art-638fc5acc4a843bb8cb626cb1b4b601e |
| institution | DOAJ |
| issn | 2234-2400 2234-2443 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj-art-638fc5acc4a843bb8cb626cb1b4b601e2025-08-20T03:05:45ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432025-03-0158220121710.5946/ce.2024.2067974Endoscopic ultrasound-guided gastroenterostomy, with focus on technique and practical tipsChi-Ying YangWen-Hsin HuangHsing-Hung ChengGastric outlet obstruction (GOO) is a condition characterized by a mechanical obstruction of the stomach or duodenum, caused by either benign or malignant disease. Traditionally, surgical gastrojejunostomy (SGJ) has been the standard treatment for malignant GOO and endoscopic stenting (ES) offers a less invasive option, but it often requires repeat interventions. Recently, endoscopic ultrasound (EUS)-guided gastroenterostomy (EUS-GE), an innovative technique, has been applied as an alternative to SGJ and ES for GOO patients. Direct EUS-GE, device-associated EUS-GE, and EUS-guided double balloon-occluded gastrojejunostomy bypass are the most commonly used techniques with reported technical success rates ranging from 80% to 100%, and clinical success rates between 68% and 100%. Adverse event (AE) rates range from 0% to 28.2% and the stent misdeployment is the most common while other AEs include abdominal pain, bleeding, infection, peritonitis, bowel perforation, gastric leakage, and stent migration. It is clear that EUS-GE may achieve a similar clinical success to SGJ with fewer AEs and a shorter hospital stay. Compared to ES, EUS-GE showed higher clinical success, fewer stent obstructions, and lower reintervention rates.http://e-ce.org/upload/pdf/ce-2024-206.pdfendosonographygastric outlet obstructiongastroenterostomyinterventional ultrasound |
| spellingShingle | Chi-Ying Yang Wen-Hsin Huang Hsing-Hung Cheng Endoscopic ultrasound-guided gastroenterostomy, with focus on technique and practical tips Clinical Endoscopy endosonography gastric outlet obstruction gastroenterostomy interventional ultrasound |
| title | Endoscopic ultrasound-guided gastroenterostomy, with focus on technique and practical tips |
| title_full | Endoscopic ultrasound-guided gastroenterostomy, with focus on technique and practical tips |
| title_fullStr | Endoscopic ultrasound-guided gastroenterostomy, with focus on technique and practical tips |
| title_full_unstemmed | Endoscopic ultrasound-guided gastroenterostomy, with focus on technique and practical tips |
| title_short | Endoscopic ultrasound-guided gastroenterostomy, with focus on technique and practical tips |
| title_sort | endoscopic ultrasound guided gastroenterostomy with focus on technique and practical tips |
| topic | endosonography gastric outlet obstruction gastroenterostomy interventional ultrasound |
| url | http://e-ce.org/upload/pdf/ce-2024-206.pdf |
| work_keys_str_mv | AT chiyingyang endoscopicultrasoundguidedgastroenterostomywithfocusontechniqueandpracticaltips AT wenhsinhuang endoscopicultrasoundguidedgastroenterostomywithfocusontechniqueandpracticaltips AT hsinghungcheng endoscopicultrasoundguidedgastroenterostomywithfocusontechniqueandpracticaltips |