EUS-guided gastroenterostomy: the first U.S. clinical experience (with video)

Advances in endotherapy in chronic pancreatitis

“…These studies reported the results of 10 patients 65 and 26 patients, 66 both describing 90% technical success rates, and clinical success rates of 100% and 85%, respectively. 65,66 The rates of adverse events were 0% in the series by Khashab et al 65 and 3% in the larger report by Tyberg et al 66 with one death. It is important to note limited numbers of patients with CP in both studies; 3/10 and 9/26, respectively.…”

Novel diagnostic and therapeutic modalities using endoscopic ultrasound in pancreatic disease

“…100 A small, multi-center retrospective study assessed feasibility of anastomotic stenting via balloon-assisted EUS-gastroenterostomy (EUS-GE) in 10 patients with GOO of varying etiologies. 98 Both technical success and resolution of symptoms were reported in 90% of patients. No complications were associated with this procedure.…”

“…However, duodenal stents may result in recurrent obstruction due to tumor infiltration or stent migration. 95,97,98 Additionally, bypass surgery is invasive with considerable morbidity, and patients who fail endoscopic stent placement may be poor surgical candidates. 4,97 EUSguided anastomosis may offer a minimally invasive alternative to achieve palliation in this patient population.…”

“…No complications were associated with this procedure. 98 More recently, 26 patients with GOO-17 due to malignant etiology-were included in a prospective multicenter study utilizing various approaches to EUS-GE with LAMS placement. 101 Technical success was reported in 92% of patients, with symptom resolution in 15 of the 17 patients with malignant GOO.…”

Endoscopic ultrasound-guided esophagoenterostomy for a completely obstructed surgical anastomosis

“…Different methods have been studied in animal models [2] and more recently EUS-guided gastroenterostomy with a lumen-apposing stent has been described in two small patient series [3,4]. A 58-year-old woman with junctional adenocarcinoma who had undergone total gastrectomy with distal esophagectomy in October 2014 was referred to us with grade 4 dysphagia in January 2015.…”