Current status and perspective of endoscopic ultrasonography‐guided gastrojejunostomy: endoscopic ultrasonography‐guided double‐balloon‐occluded gastrojejunostomy (with videos)

Itoi, Takao; Ishii, Kentaro; Tanaka, Reina; Umeda, Junko; Tonozuka, Ryosuke

doi:10.1002/jhbp.148

Cited by 53 publications

(34 citation statements)

References 25 publications

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“…Antimigration systems in covered SEMS and tailored management based on risk factors for stent dysfunction would help improve outcomes of gastroduodenal SEMS. Recently, endoscopic ultrasound‐guided gastrojejunostomy for malignant GOO was reported as an alternative to endoscopic SEMS placement or surgical bypass, potentially possessing longer patency as a result of insusceptibility to tumor invasion . An investigation of those modalities for malignant GOO, taking into account patient survival and quality of life, and cost‐effectiveness, is warranted …”

Section: Discussionmentioning

confidence: 99%

Covered versus uncovered metal stents for malignant gastric outlet obstruction: Systematic review and meta‐analysis

Hamada

Hakuta

Takahara

et al. 2017

Digestive Endoscopy

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Background and Aim: Self-expandable metal stents (SEMS) are used for non-resectable malignant gastric outlet obstruction (GOO). Studies of covered versus uncovered SEMS have yielded inconsistent results as a result of heterogeneity in design and patient population. We carried out a meta-analysis to compare covered and uncovered gastroduodenal SEMS.Methods: Using MEDLINE, Embase, and the Cochrane database, we identified 1624 patients from 13 prospective and retrospective studies that evaluated covered and uncovered SEMS for malignant GOO and were published until October 2016. We pooled data on SEMS dysfunction, technical and clinical success, and adverse events using the fixed-effect or random-effects model. Conclusions: Outcomes of covered and uncovered gastroduodenal SEMS were comparable, although the lower dysfunction rate of covered SEMS observed in the analysis of randomized trials needs further investigation. Antimigration mechanisms for covered SEMS and identification of patients who can achieve longer patency from uncovered SEMS would help improve the outcomes of gastroduodenal SEMS. Results

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Section: Discussionmentioning

confidence: 99%

Covered versus uncovered metal stents for malignant gastric outlet obstruction: Systematic review and meta‐analysis

Hamada

Hakuta

Takahara

et al. 2017

Digestive Endoscopy

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“…Endoscopic placement of a metal stent for MGOO treatment has been gaining popularity as an alternative to surgical GJ because of its high technical success rates and less invasiveness. Interestingly, several investigators have attempted endoscopic GJ as ‘endoscopic bypass’ for longer efficacy while maintaining a less invasive procedure 1. We previously reported on the feasibility and safety of EUS-guided GJ (EUS-GJ) using a lumen-apposing metal stent (LAMS)2 3 and a special double-balloon enteric tube in an animal model and a pilot clinical study 3.…”

Section: Messagementioning

confidence: 99%

Prospective evaluation of endoscopic ultrasonography-guided double-balloon-occluded gastrojejunostomy bypass (EPASS) for malignant gastric outlet obstruction

Itoi

Ishii

Ikeuchi

et al. 2015

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“…Lately, endoscopic ultrasonography (EUS)‐guided gastroenterostomy (EUS‐GE) has emerged . The concept of EUS‐GE was first introduced by Fritscher‐Ravens et al .…”

Section: Introductionmentioning

confidence: 99%

Technical review of endoscopic ultrasonography‐guided gastroenterostomy in 2017

Itoi

Baron

Khashab

et al. 2017

Digestive Endoscopy

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110

120

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Gastric outlet obstruction (GOO) can be caused by benign and malignant diseases and often leads to a reduction in patient quality of life. Lately, endoscopic ultrasonography (EUS)-guided gastroenterostomy (EUS-GE) has emerged. At the present time, there are three types of EUS-GE using lumen-apposing biflanged metal stents (LAMS): (i) direct EUS-GE; (ii) assisted EUS-GE using retrieval/dilating balloon, single balloon overtube, nasobiliary drain and ultraslim endoscope; and (iii) EUS-guided doubleballoon-occluded gastrojejunostomy bypass (EPASS). Overall technical success rate is approximately 90% regardless of technique used, although this is based on two retrospective studies only. In the EPASS procedure, the success rate of the one-step procedure was higher than that of the two-step procedure (100% vs 82%). Clinical success was almost uniform when stent placement was technically successful. Although there have been no-stent induced procedural deaths, adverse events were seen in several cases. One technically failed case carried out using balloon-assisted EUS-GE was converted to laparoscopic gastrojejunostomy. Two failed cases in EPASS procedure improved with conservative treatment. In the present review, we show the feasibility and outcomes using novel EUS-GE using LAMS. Clinical prospective trials with comparison to luminal enteral stents and surgical GE are warranted.

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Current status and perspective of endoscopic ultrasonography‐guided gastrojejunostomy: endoscopic ultrasonography‐guided double‐balloon‐occluded gastrojejunostomy (with videos)

Cited by 53 publications

References 25 publications

Covered versus uncovered metal stents for malignant gastric outlet obstruction: Systematic review and meta‐analysis

Covered versus uncovered metal stents for malignant gastric outlet obstruction: Systematic review and meta‐analysis

Prospective evaluation of endoscopic ultrasonography-guided double-balloon-occluded gastrojejunostomy bypass (EPASS) for malignant gastric outlet obstruction

Technical review of endoscopic ultrasonography‐guided gastroenterostomy in 2017

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