EUS-guided gastroenterostomy: a multicenter study comparing the direct and balloon-assisted techniques

Chen, Yen I.; Kunda, Rastislav; Storm, Andrew C.; Aridi, Hanaa Dakour; Thompson, Christopher C.; Nieto, José; James, Theodore W.; Irani, Shayan; Bukhari, Majidah; Gutierrez, Olaya Brewer; Agarwal, Amol; Fayad, Lea; Moran, Robert A.; Alammar, Nuha; Sanaei, Omid; Canto, Marcia I.; Singh, Vikesh K.; Baron, Todd H.; Khashab, Mouen A.

doi:10.1016/j.gie.2017.07.030

Cited by 124 publications

(156 citation statements)

References 26 publications

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“…In 45 patients with malignant GOO, recurrent obstruction occurred in only 6.1 % of cases. This low rate is similar to rates reported in previous studies, which ranged from 0 % to 14 % [9,10,[12][13][14][15]. The median follow-up time in this study was relatively short at 59 days.…”

supporting

confidence: 90%

Malignant GOO: Are duodenal stenting and surgical gastrojejunostomy obsolete?

Keane

Khashab

2020

Endosc Int Open

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supporting

confidence: 90%

Malignant GOO: Are duodenal stenting and surgical gastrojejunostomy obsolete?

Keane

Khashab

2020

Endosc Int Open

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“…EUS-GE procedures and per procedural care were performed according to local practice and endoscopists' preference. Either the direct puncture technique or the balloon-assisted technique was performed [19]. A gastroscope was introduced proximal to the stenosis and a feeding tube was placed distal to the stenosis through the working channel.…”

Section: Eus-ge Procedural Techniquesmentioning

confidence: 99%

Patency of endoscopic ultrasound-guided gastroenterostomy in the treatment of malignant gastric outlet obstruction

et al. 2020

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Background and study aims Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) with a lumen-apposing metal stent (LAMS) is a novel, minimally invasive technique in the palliative treatment of malignant gastric outlet obstruction (GOO). Several studies have demonstrated feasibility and safety of EUS-GE, but evidence on long-term durability is limited. The aim of this study was to evaluate patency of EUS-GE in treatment of malignant GOO. Patients and Methods An international multicenter study was performed in seven centers in four European countries. Patients who underwent EUS-GE with a LAMS between March 2015 and March 2019 for palliative treatment of symptomatic malignant GOO were included retrospectively. Our main outcome was recurrent obstruction due to LAMS dysfunction; other outcomes of interest were technical success, clinical success, adverse events (AEs), and survival. Results A total of 45 patients (mean age 69.9 ± 12.3 years and 48.9 % male) were included. Median duration of follow-up was 59 days (interquartile range [IQR] 41–128). Recurrent obstruction occurred in two patients (6.1 %), after 33 and 283 days of follow-up. Technical success was achieved in 39 patients (86.7 %). Clinical success was achieved in 33 patients (73.3 %). AEs occurred in 12 patients (26.7 %), of which five were fatal. Median overall survival was 57 days (IQR 32–114). Conclusions EUS-GE showed a low rate of recurrent obstruction. The relatively high number of fatal AEs underscores the importance of careful implementation of EUS-GE in clinical practice.

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“…1 The development of walled-off necrosis (WON) is a late complication of acute severe necrotizing pancreatitis, and endoscopic necrosectomy (EN) has become an effective treatment for infected WON. A multicenter study [2][3][4] of EN in WON revealed clinical success rates from 75% to 91%. However, high mortality and morbidity rates of 6.7-11% and 14-33%, respectively, were found.…”

Section: Current Problems and Clinical Results Of Endoscopic Necrosecmentioning

confidence: 99%

“…As a new approach, endoscopic ultrasonography-guided gastrojejunostomy (EUS-GJ), which utilizes these advantages, has emerged in the clinical setting. [1][2][3][4] However, EUS-GJ is not always successful because of invisible jejunum under EUS due to air or collapse of the jejunum, leading to mispuncture to the large intestine and misdeployment of the stent. To overcome these problems, we developed the EUS-guided double-balloon-occluded gastrojejunostomy bypass (EPASS).…”

Section: Case Of Successful Endoscopic Ultrasonography-guided Gastrojmentioning

confidence: 99%

Case of successful endoscopic ultrasonography‐guided gastrojejunostomy for gastric outlet obstruction caused by gallbladder carcinoma

Tsuchiya

Sofuni

Itoi

2019

Digestive Endoscopy

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EUS-guided gastroenterostomy: a multicenter study comparing the direct and balloon-assisted techniques

Cited by 124 publications

References 26 publications

Malignant GOO: Are duodenal stenting and surgical gastrojejunostomy obsolete?

Malignant GOO: Are duodenal stenting and surgical gastrojejunostomy obsolete?

Patency of endoscopic ultrasound-guided gastroenterostomy in the treatment of malignant gastric outlet obstruction

Case of successful endoscopic ultrasonography‐guided gastrojejunostomy for gastric outlet obstruction caused by gallbladder carcinoma

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