Endoscopic ultrasound guided gastrojejunostomy

Dawod, Enad; Nieto, José

doi:10.21037/tgh.2018.11.03

Cited by 19 publications

(15 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ascites can also make the procedure difficult. Finally, care must be taken to ensure that there is no luminal obstruction downstream and distal to the puncture site of the jejunum, especially in cases of peritoneal carcinomatosis or extensive lymphadenopathy 16,17 .…”

Section: Discussionmentioning

confidence: 99%

EUS-guided gastroenterostomy: Initial experience in a brazilian tertiary center

Oliveira

Coronel

Lima

et al. 2020

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

SUMMARY INTRODUCTION: EUS-guided gastroenterostomy (EUS-GE) is a novel procedure for palliation of malignant gastric outlet obstruction (GOO). Our aim was to evaluate the outcomes of this technique in our initial experience. METHODS: Patients with GOO from our institute were included. Technical success was defined as the successful creation of a gastroenterostomy. Clinical success was defined as the ability to tolerate a soft diet after the procedure. We assessed adverse events and diet tolerance 1 month after the procedure. RESULTS: Three patients were included. Technical and clinical success was achieved in all cases. There were no adverse events and good diet tolerance was observed 1 month after the procedure in the included patients. CONCLUSION: EUS-GE is a promising treatment for patients with GOO.

show abstract

Section: Discussionmentioning

confidence: 99%

EUS-guided gastroenterostomy: Initial experience in a brazilian tertiary center

Oliveira

Coronel

Lima

et al. 2020

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

show abstract

“…Palliative gastric decompression with the placement of jejunal feeding tube or total parenteral nutrition should be considered in case of multiple strictures or GOO, especially if distal to the location of planned stent deployment[ 123 ]. In patients who fail standard endoscopic management of GOO, there is increasing use of less invasive EUS-guided gastrojejunostomy due to its advantages to establish longer patency, fewer adverse events, and higher clinical and technical success rates[ 122 , 124 ].…”

Section: Endoscopic Retrograde-guided Therapeutic Interventionsmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography guided interventions in the management of pancreatic cancer

Yousaf¹,

Ehsan²,

Wahab³

et al. 2020

WJGE

View full text Add to dashboard Cite

Pancreatic cancer is the leading cause of cancer-related morbidity and mortality with an overall five-year survival of less than 9% in the United States. At presentation, the majority of patients have painless jaundice, pruritis, and malaise, a triad that develops secondary to obstruction, which often occurs late in the course of the disease process. The technical advancements in radiological imaging and endoscopic interventions have played a crucial role in the diagnosis, staging, and management of patients with pancreatic cancer. Endoscopic retrograde cholangiopancreatography (ERCP)-guided diagnosis (with brush cytology, serial pancreatic juice aspiration cytologic examination technique, or biliary biopsy) and therapeutic interventions such as pancreatobiliary decompression, intraductal and relief of gastric outlet obstruction play a pivotal role in the management of advanced pancreatic cancer and are increasingly used due to improved morbidity and complication rates compared to surgical management. In this review, we highlight various ERCP-guided diagnostic and therapeutic interventions for the management of pancreatic cancer.

show abstract

“…EUS-guided GJ is an innovative procedure that has been described as an alternative to surgical GJ. In this procedure, an endosonographic placement of a lumen-apposing metal stent is performed to create a gastrojejunal anastomosis, which bypasses the gastroduodenal obstruction [72,73]. A recent international multicentre study that included 26 patients showed a technical and clinical success rate of 92 and 85%, respectively [73].…”

Section: Eus-guided Gastrojejunostomymentioning

confidence: 99%

Nutritional Support of Cancer Patients without Oral Feeding: How to Select the Most Effective Technique?

Nunes

Fonseca

Barata

et al. 2019

GE Port J Gastroenterol

View full text Add to dashboard Cite

Background: Digestive tumours are among the leading causes of morbidity and mortality. Many cancer patients cannot maintain oral feeding and develop malnutrition. The authors aim to: review the endoscopic, radiologic and surgical techniques for nutritional support in cancer patients; address the strategies for nutritional intervention according to the selected technique; and establish a decision-making algorithm to define the best approach in a specific tumour setting. Summary: This is a narrative non-systematic review based on an electronic search through the medical literature using PubMed and UpToDate. The impossibility of maintaining oral feeding is a major cause of malnutrition in head and neck (H&N) cancer, oesophageal tumours and malignant gastric outlet obstruction. Tube feeding, endoscopic stents and gastrojejunostomy are the three main nutritional options. Nasal tubes are indicated for short-term enteral feeding. Percutaneous endoscopic gastrostomy (PEG) is the gold standard when enteral nutrition is expected for more than 3-4 weeks, especially in H&N tumour and oesophageal cancer patients undergoing definite chemoradiotherapy. A gastropexy push system may be considered to avoid cancer seeding. Radiologic and surgical gastrostomy are alternatives when an endoscopic approach is not feasible. Postpyloric nutrition is indicated for patients intolerant to gastric feeding and may be achieved through nasoenteric tubes, PEG with jejunal extension, percutaneous endoscopic jejunostomy and surgical jejunostomy. Oesophageal and enteric stents are palliative techniques that allow oral feeding and improve quality of life. Surgical or EUS-guided gastrojejunostomy is recommended when enteric stents fail or prolonged survival is expected. Nutritional intervention is dependent on the technique chosen. Institutional protocols and decision algorithms should be developed on a multidisciplinary basis to optimize nutritional care. Conclusions: Gastroenterologists play a central role in the nutritional support of cancer patients performing endoscopic techniques that maintain oral or enteral feeding. The selection of the most effective technique must consider the cancer type, the oncologic therapeutic program, nutritional aims and expected patient survival.

show abstract

Endoscopic ultrasound guided gastrojejunostomy

Cited by 19 publications

References 14 publications

EUS-guided gastroenterostomy: Initial experience in a brazilian tertiary center

EUS-guided gastroenterostomy: Initial experience in a brazilian tertiary center

Endoscopic retrograde cholangiopancreatography guided interventions in the management of pancreatic cancer

Nutritional Support of Cancer Patients without Oral Feeding: How to Select the Most Effective Technique?

Contact Info

Product

Resources

About