Background: Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) is a minimally invasive technique for treating gastric outlet obstruction (GOO). The aim of this study was to assess the outcomes of EUS-GE in managing benign GOO caused by duodenal stenosis in patients with acute pancreatitis.
Methods: This international retrospective study analyzed patients treated with EUS-GE for GOO caused by acute pancreatitis until December 2023, evaluating technical and clinical success, adverse events, and reintervention.
Results: 39 patients (median age 55 years, 15 women) were included. There was a 92.3% technical success rate, with only three patients unable to undergo EUS-GE owing to a long distance between the stomach and small bowel or an inadequate window for puncture. Clinical success was observed in 34 patients (87.2%). The median Gastric Outlet Obstruction Scoring System (GOOSS) improved from 0 before EUS-GE to 2 afterward ( <0.001). Follow-up (≥3 months) was available in 25 patients. During a median follow-up of 23 months, four patients required reintervention. It was possible to remove the lumen-apposing metal stent in 18 patients. The only adverse event was a gastrocolic fistula detected incidentally after 3 months.
Conclusion: EUS-GE is an effective and safe method for managing benign GOO in the setting of acute pancreatitis.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1055/a-2452-5307 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Complication of Gastric Balloon in an Adolescent Patient: A Case Report.
Cureus
November 2024
Pediatric Surgery, Nicklaus Children's Hospital, Miami, USA.
As the prevalence of childhood obesity continues to rise, there is an increase in demand for temporary and minimally invasive alternatives to bariatric surgery as solutions for addressing pediatric obesity. Intragastric balloon (IGB) placement is an increasingly popular methodology for addressing adult obesity; however, it is not approved for the pediatric population. We describe the case of a 17-year-old adolescent female who underwent IGB placement in Colombia and failed to receive proper follow-up care in the country of insertion resulting in a gastric outlet obstruction.
View Article and Find Full Text PDFComparative Efficacy of Endoscopic Versus Open Surgical Techniques in the Management of Gastric Outlet Obstruction: A Systematic Review.
Cureus
November 2024
Internal Medicine, Allama Iqbal Medical College, Lahore, PAK.
Gastric outlet obstruction (GOO) is a clinical condition that can arise from both benign and malignant causes, requiring effective management strategies to ensure optimal patient outcomes. Traditionally, open surgical techniques like gastrojejunostomy (GJ) have been the standard treatment, but recent advances in minimally invasive procedures, such as endoscopic ultrasound-guided gastroenterostomy (EUS-GE), offer alternative approaches with potentially reduced morbidity. This systematic review compared the efficacy, safety, and clinical outcomes of endoscopic versus open surgical techniques in managing GOO.
View Article and Find Full Text PDFGastric Outlet Obstruction as a First Symptom of a Non-Muscle Invasive Bladder Cancer (NMIBC) Progression-A Case Report.
Cancer Rep (Hoboken)
December 2024
Department of Internal Medicine, Hospital St. Josef Braunau, Braunau am Inn, Austria.
Article Synopsis
- A 78-year-old male patient presented with persistent vomiting due to a rare case of metastatic urinary bladder cancer, which led to gastric outlet obstruction.
- Despite recent follow-up showing no disease recurrence, tests revealed duodenal stenosis and abnormal mesenteric fat swelling, initially misinterpreted as inflammation.
- A laparoscopic exploration confirmed peritoneal carcinomatosis, ultimately identifying urothelial cancer cells, highlighting the need for clinicians to think about metastatic bladder cancer in similar situations.
Double naso-enteric tubes stenting in afferent limb syndrome with concomitant proximal efferent limb obstruction after loop gastrojejunostomy bypass: a case report.
J Surg Case Rep
December 2024
Department of Surgery, Phramongkutklao Hospital, Thung Phaya Thai, Ratchathewi, Bangkok 10400, Thailand.
Endoscopic or fluoroscopic guided naso-enteric placement for stenting and decompression has been used in mechanical enteric limb obstruction after gastrectomy or gastric bypass surgery. However, the use of double naso-enteric tube for treatment of multiple enteric limbs obstruction has not been described to date. We present a 61-year-old female with afferent limb syndrome with concomitant efferent limb obstruction which caused by kinking of anastomosis after loop gastrojejunostomy for benign gastric outlet obstruction.
View Article and Find Full Text PDFEUS-Directed transDuodenal ERCP in Concomitant Gastric Outlet and Biliary Obstruction.
Gastrointest Endosc
December 2024
Virginia Tech Carilion, Division of Gastroenterology, Roanoke, Virginia.
Background And Aims: Patients with concomitant gastric outlet obstruction (GOO) and biliary obstruction often have limited management options, particularly in the setting of severe debility. We detail the use of EUS guided gastro-duodenal placement of lumen apposing metal stent (LAMS) as a conduit for transduodenal ERCP: EUS-Directed transDuodenal ERCP (EDDE).
Methods: Nine patients that developed GOO with indwelling biliary metal stents or with anticipated biliary stent placement were retrospectively included.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!