Id: 3527191 Eus-Guided Gastroenterostomy: A Multicenter International Study Comparing Benign and Malignant Diseases

Kahaleh, Michel; Tyberg, Amy; Sameera, Sohini; Sarkar, Avik; Shahid, Haroon; Abdelqader, Abdelhai; Gjeorgjievski, Mihajlo; Gaidhane, Monica; Muniraj, Thiruvengadam; Jamidar, Priya A.; Aslanian, Harry R.; Mathew, Abraham; Lajin, Michael; Kedia, Prashant; Nieto, José; Parsa, Nasim; Andalib, Iman; Bashir, Muhammad H.; Kowalski, Thomas E.; Loren, David E.; Kumar, Anand; Schlachterman, Alexander; Chiang, Austin L.; Holmes, Ian; Ladd, Antonio H. Mendoza; Oleas, Roberto; Zolotarevsky, Eugene; Robles-Medranda, Carlos; Barthet, Marc

doi:10.1016/j.gie.2021.03.498

Cited by 3 publications

(3 citation statements)

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“…Two subsequent studies demonstrated similar safety and efficacy [48,49]. More recently, Kahaleh et al conducted a multicentre retrospective registry study comparison between benign and malignant indications for EUS-GE and noted no difference in outcomes [50]. EUS-GE, in the management of benign GOO, appears promising and may also have an additional role as a "bridging" procedure (e.g., for nutritional optimization) in patients who eventually require subsequent surgery.…”

Section: Eus-gastroenterostomy For Benign Gastric Outlet Obstructionmentioning

confidence: 99%

The Role of Luminal Apposing Metal Stents on the Treatment of Malignant and Benign Gastric Outlet Obstruction

Rimbaș,

Lau,

Tripodi

et al. 2023

Diagnostics

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Gastric outlet obstruction (GOO) is a clinical syndrome traditionally managed by surgical gastrojejunostomy or enteral stenting. The surgical approach is burdened with a high rate of adverse events (AEs), while enteral stenting has a limited long-term clinical effectiveness, with the need for repeat procedures. The availability of lumen-apposing metal stents (LAMSs) has resulted a shift in the treatment paradigm of GOO. Indeed, endoscopists are now able to create a stable anastomosis between the stomach and small bowel under endosonographic guidance. EUS-guided gastro-enteroanastomosis (EUS-GE) has the theoretical advantage of a durable luminal patency resulting from stent placement away from the site of obstruction, free from surgical-related AEs. This approach could be especially valuable in terminally ill patients with a limited life expectancy. The present paper reviews procedural techniques and clinical outcomes of EUS-GE in the context of both malignant and benign GOOs.

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Section: Eus-gastroenterostomy For Benign Gastric Outlet Obstructionmentioning

confidence: 99%

The Role of Luminal Apposing Metal Stents on the Treatment of Malignant and Benign Gastric Outlet Obstruction

Rimbaș,

Lau,

Tripodi

et al. 2023

Diagnostics

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“…Aims In the malignant gastric outlet obstruction (GOO), endoscopic ultrasound-guided gastroenterostomy (EUS-GE) is nowadays a well-established palliative technique in selected patients 1 . Given the successes in this patient population, EUS-GE could represent a promising strategy, with fewer adverse events compared to surgery, in selected patients with benign GOO 2 .…”

mentioning

confidence: 99%

Endoscopic ultrasound-guided gastroenterostomy for the treatment of benign gastric outlet obstruction: the future journey

Fimiano,

Forti,

Dioscoridi

et al. 2024

Endoscopy

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“…EUS-GE had a technical success of 90% and clinical success of 100%, while no adverse effects were described. According to a recent review including fourteen studies, technical success of EUS-GE ranged from 87 to 100% and had a clinical success of 84-100%, irrespective of the technique performed [18][19][20][21]. A recent meta-analysis including twelve, mostly retrospective, studies (n = 285), conducted by Iqbal et al [19], assessed the performance of EUS-GE in the treatment of GOO.…”

mentioning

confidence: 99%

Revealing Insights: A Comprehensive Overview of Gastric Outlet Obstruction Management, with Special Emphasis on EUS-Guided Gastroenterostomy

Ziogas,

Vasilakis,

Kapizioni

et al. 2024

Medical Sciences

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Gastric outlet obstruction (GOO) poses a common and challenging clinical scenario, characterized by mechanical blockage in the pylorus, distal stomach, or duodenum, resulting in symptoms such as nausea, vomiting, abdominal pain, and early satiety. Its diverse etiology encompasses both benign and malignant disorders. The spectrum of current treatment modalities extends from conservative approaches to more invasive interventions, incorporating procedures like surgical gastroenterostomy (SGE), self-expandable metallic stents (SEMSs) placement, and the advanced technique of endoscopic ultrasound-guided gastroenterostomy (EUS-GE). While surgery is favored for longer life expectancy, stents are preferred in malignant gastric outlet stenosis. The novel EUS-GE technique, employing a lumen-apposing self-expandable metal stent (LAMS), combines the immediate efficacy of stents with the enduring benefits of gastroenterostomy. Despite its promising outcomes, EUS-GE is a technically demanding procedure requiring specialized expertise and facilities.

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Id: 3527191 Eus-Guided Gastroenterostomy: A Multicenter International Study Comparing Benign and Malignant Diseases

Cited by 3 publications

References 0 publications

The Role of Luminal Apposing Metal Stents on the Treatment of Malignant and Benign Gastric Outlet Obstruction

The Role of Luminal Apposing Metal Stents on the Treatment of Malignant and Benign Gastric Outlet Obstruction

Endoscopic ultrasound-guided gastroenterostomy for the treatment of benign gastric outlet obstruction: the future journey

Revealing Insights: A Comprehensive Overview of Gastric Outlet Obstruction Management, with Special Emphasis on EUS-Guided Gastroenterostomy

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