Safety and efficacy of endoscopic ultrasound‐guided gastroenterostomy for gastric outlet obstruction in different sites: A single‐center retrospective study

Huang, Tianlu; Zhong, Wenqi; Shen, Yonghua; Ni, Muhan; Xu, Guifang; Lv, Ying; Li, Wen; Zhou, Xiaoliang; Cai, Wei; Wang, Lei; Zou, Xiaoping

doi:10.1111/1751-2980.13118

Cited by 3 publications

(15 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We also excluded those that did not specify the techniques used or if there were mixed EUS-GE techniques in the pool of patients. A total of 20 studies fulfilled our inclusion criteria: 12 case series and eight comparative studies [12,14,[23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40].…”

Section: Resultsmentioning

confidence: 99%

“…All studies reported AEs [12,14,[23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]. The rates were 9.3% and 21.4% for DGE and BTGE (Table 6), respectively.…”

Section: Total Adverse Eventsmentioning

confidence: 97%

“…All studies [12,14,[23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] were included in this analysis. The technical success was 94.8% in the direct puncture group and 93.6% in the balloon-assisted group (Table 6), with an RD of -0.012 (95% CI -0.055 to 0.031 I2= 0% p=0.585) without statistical difference between the groups (Figure 2).…”

Section: Technical Successmentioning

confidence: 99%

“…Fourteen studies [12,14,[24][25][26][27][28][29][30][31][37][38][39][40] reported procedure duration. The mean duration was 48.21±93.29 min and 64.74±153.6 min for DGE and BTGE (Table 6), respectively.…”

Section: Procedures Durationmentioning

confidence: 99%

“…Six studies [12,14,[37][38][39][40] reported procedure duration in this subgroup analysis. BAGE had 89.93 ± 35.33 min of procedure duration while EPASS had 54.07±143.02 min, with an MD of 35.8 (95% CI -18.83 to 90.53 I2=97% p=0.199), without statistical significance between the groups (Table 7).…”

Section: Procedures Durationmentioning

confidence: 99%

See 4 more Smart Citations

Endoscopic Ultrasound-Guided Gastroenterostomy for the Palliation of Gastric Outlet Obstruction (GOO): A Systematic Review and Meta-analysis of the Different Techniques

Ribas¹,

Proença²,

Júnior³

et al. 2022

Cureus

View full text Add to dashboard Cite

Introduction: Gastric outlet obstruction (GOO) is usually associated with a poor prognosis and a significant decrease in a patient's quality of life. Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) using lumen-apposing metal stents (LAMS) has emerged as a safe and effective palliation procedure for GOO in patients that are unfit for surgery. Without an exclusive gold-standard technique for EUS-GE, we aimed to compare the currently available ones in this systematic review and meta-analysis, the first on this subspecialty.Methods: A comprehensive search from multiple electronic databases was performed. The search had a particular emphasis on the techniques used in performing EUS-GE. We identified all the studies in which EUS-GE was performed as palliation for GOO from its inception to the current date. The outcomes analyzed were the following: technical and clinical success, total and severe adverse events (AEs), procedure duration, and length of hospital stay (LOHS).Results: Twenty studies involving 863 patients were the basis of this statistical analysis. Patients underwent the following techniques: direct gastroenterostomy (DGE) (n=718), balloon-assisted gastroenterostomy (BAGE) (n=27), and endoscopic ultrasound (EUS)-guided double-balloon-occluded gastrojejunostomy bypass (n=118). In comparison to balloon-assisted techniques, DGE had a lower rate of AEs, -0.121 (95% CI -0.191 to -0.051 p=0.001); and LOHS for the DGE group, -2.684 (95% CI -1.031 to -4.337 p=0.001). The other analyzed outcomes presented no statistically significant differences. On a sub-analysis, BAGE showed a lower rate of AEs than EUS-guided double-balloon-occluded gastrojejunostomy bypass, -0.196 (95% CI -0.061 to -0.331 p=0.004).Conclusions: EUS-GE is a safe and effective procedure for palliating GOO. When correctly administered, any of the analyzed techniques may be used to palliate GOO with similar technical and clinical outcomes. DGE had significantly lower rates of AEs and LOHS, which can be inferred as a safer procedure. These results should be interpreted cautiously due to the limited few studies that are available and accessible. Therefore, further well-designed, randomized clinical studies on the topic are warranted to compare the different techniques from more sources.

show abstract

Section: Resultsmentioning

confidence: 99%

“…All studies reported AEs [12,14,[23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]. The rates were 9.3% and 21.4% for DGE and BTGE (Table 6), respectively.…”

Section: Total Adverse Eventsmentioning

confidence: 97%

Section: Technical Successmentioning

confidence: 99%

Section: Procedures Durationmentioning

confidence: 99%

Section: Procedures Durationmentioning

confidence: 99%

See 3 more Smart Citations

Endoscopic Ultrasound-Guided Gastroenterostomy for the Palliation of Gastric Outlet Obstruction (GOO): A Systematic Review and Meta-analysis of the Different Techniques

Ribas¹,

Proença²,

Júnior³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

Endoscopic ultrasound-guided gastroenterostomy with lumen-apposing metal stents: a retrospective multicentric comparison of wireless and over-the-wire techniques

Monino

Pérez-Cuadrado-Robles

Gonzalez

et al. 2023

Endoscopy

View full text Add to dashboard Cite

Background Endoscopic ultrasound guided gastroenterostomy (EUS-GE) using lumen-apposing metal stents (LAMS) appears to be effective and safe in gastric outlet obstruction (GOO). However, the EUS-GE procedure is not standardized. The use of assisted or direct methods is still debated. The aim of this study was to compare the outcomes of EUS-GE techniques with focus on assisted with a oro-intestinal drain wireless endoscopic simplified technique (WEST) and the non-assisted direct technique over a guidewire (DTOG). Patients This is a multicenter European retrospective study including four tertiary centers. Consecutive patients who underwent EUS-GE between August 2017 and May 2022 for GOO were included. The primary aim was to compare the technical success and adverse event (AE) rates of the different EUS-GE techniques. Clinical success was also analyzed Results A total of 71 patients (66.2±10 years, 42.3% male, 80.3% malignant etiology) were included. Technical success was higher in the WEST group (95.1% vs. 73.3%, eRR:3.2; 95%CI [0.94; 10.9], p=0.014). The rate of AEs was lower in the WEST group (14.6% vs. 46.7%, eRR 2.3; 95%CI [1.2;4.5], p=0.007). The clinical success was comparable in the two groups at one month (97.5% vs. 89.3%). The median follow-up was 5 months (range 1-57). Conclusion The WEST has a higher technical success and less AEs, with a clinical success comparable to the DTOG. Therefore, the WEST technique (with an oro-intestinal drain) should be preferred to perform EUS-GE.

show abstract

EUS-guided gastroenterostomy for gastric outlet obstruction: a comprehensive meta-analysis

Lin

Tang

et al. 2023

Minimally Invasive Therapy & Allied Technologies

View full text Add to dashboard Cite

Safety and efficacy of endoscopic ultrasound‐guided gastroenterostomy for gastric outlet obstruction in different sites: A single‐center retrospective study

Abstract: Objectives: Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) has recently been employed as a novel treatment for gastric outlet obstruction (GOO). The aim of this study was to evaluate the safety and efficacy of EUS-GE for GOO at different sites.

Cited by 3 publications

References 15 publications

Endoscopic Ultrasound-Guided Gastroenterostomy for the Palliation of Gastric Outlet Obstruction (GOO): A Systematic Review and Meta-analysis of the Different Techniques

Endoscopic Ultrasound-Guided Gastroenterostomy for the Palliation of Gastric Outlet Obstruction (GOO): A Systematic Review and Meta-analysis of the Different Techniques

Endoscopic ultrasound-guided gastroenterostomy with lumen-apposing metal stents: a retrospective multicentric comparison of wireless and over-the-wire techniques

EUS-guided gastroenterostomy for gastric outlet obstruction: a comprehensive meta-analysis

Contact Info

Product

Resources

About