Surgical intervention and, more recently, endoscopic intervention have been performed for the treatment of malignant gastric outlet obstruction. Recently, endoscopic ultrasonography (EUS)-guided gastrojejunostomy using special devices has been established. In line with this, we have developed a novel EUS-guided double-balloonoccluded gastrojejunostomy (EBOG) using a lumenapposing biflanged metal stent. Herein, we describe the technique and outcome of EBOG.