Laparoscopic Versus Eus-Guided Gastroenterostomy For Gastric Outlet Obstruction: An International Multicenter Propensity Score-Matched Comparison

Bronswijk, Michiel; Vanella, Giuseppe; Malenstein, Hannah van; Laleman, Wim; Jaekers, Joris; Topal, Baki; Daams, Freek; Besselink, M.; Arcidiacono, P.G.; Voermans, R.P.; Fockens, Paul; Larghi, Alberto; Wanrooij, R. van; Merwe, Schalk Van der

doi:10.1055/s-0041-1724493

Cited by 11 publications

(27 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After the saline-filled small bowel target has been located, the electrocautery tip is advanced directly, using a free-hand technique under endosonographic control, without the aid of a guidewire or confirmatory 19G FNA needle puncture. The same steps for deployment are followed to release the stent as for the over-the-guidewire technique 139 140 .…”

Section: Eus-guided Gastrointestinal Anastomosismentioning

confidence: 99%

“…Technical success is similar between the various techniques for creating an EUS-GE 144 ( Table 10 s ). A recently published study using the wireless endoscopic simplified technique (WEST) showed high procedural success and a low AE rate, suggesting that the additional use of balloons or maneuvers aimed at stabilizing the target loop may not be required 139 140 . While no high quality prospective comparison exists, most data and experience originate from reports of cohorts using the direct method or WEST 140 145 146 147 148 .…”

Section: Eus-guided Gastrointestinal Anastomosismentioning

confidence: 99%

“…Results from clinical experience with this technique are detailed in Table 7 s . Published cohorts of more than 10 cases have been described in 15 studies (with partial cohort overlap), all but one of these being retrospective 140 145 146 147 148 149 157 158 159 160 161 162 163 164 165 . The results from these studies were included in five recent pooled analyses and systematic reviews including almost 300 patients 144 166 167 168 169 .…”

Section: Eus-guided Gastrointestinal Anastomosismentioning

confidence: 99%

See 2 more Smart Citations

Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

et al. 2021

View full text Add to dashboard Cite

Main Recommendations 1 ESGE recommends the use of endoscopic ultrasound-guided biliary drainage (EUS-BD) over percutaneous transhepatic biliary drainage (PTBD) after failed endoscopic retrograde cholangiopancreatography (ERCP) in malignant distal biliary obstruction when local expertise is available.Strong recommendation, moderate quality evidence. 2 ESGE suggests EUS-BD with hepaticogastrostomy only for malignant inoperable hilar biliary obstruction with a dilated left hepatic duct when inadequately drained by ERCP and/or PTBD in high volume expert centers.Weak recommendation, moderate quality evidence. 3 ESGE recommends that EUS-guided pancreatic duct (PD) drainage should only be considered in symptomatic patients with an obstructed PD when retrograde endoscopic intervention fails or is not possible.Strong recommendation, low quality evidence. 4 ESGE recommends rendezvous EUS techniques over transmural PD drainage in patients with favorable anatomy owing to its lower rate of adverse events.Strong recommendation, low quality evidence. 5 ESGE recommends that, in patients at high surgical risk, EUS-guided gallbladder drainage (GBD) should be favored over percutaneous gallbladder drainage where both techniques are available, owing to the lower rates of adverse events and need for re-interventions in EUS-GBD.Strong recommendation, high quality of evidence. 6 ESGE recommends EUS-guided gastroenterostomy (EUS-GE), in an expert setting, for malignant gastric outlet obstruction, as an alternative to enteral stenting or surgery.Strong recommendation, low quality evidence. 7 ESGE recommends that EUS-GE may be considered in the management of afferent loop syndrome, especially in the setting of malignancy or in poor surgical candidates. Strong recommendation, low quality evidence. 8 ESGE suggests that endoscopic ultrasound-directed transgastric ERCP (EDGE) can be offered, in expert centers, to patients with a Roux-en-Y gastric bypass following multidisciplinary decision-making, with the aim of overcoming the invasiveness of laparoscopy-assisted ERCP and the limitations of enteroscopy-assisted ERCP.Weak recommendation, low quality evidence.

show abstract

Section: Eus-guided Gastrointestinal Anastomosismentioning

confidence: 99%

Section: Eus-guided Gastrointestinal Anastomosismentioning

confidence: 99%

Section: Eus-guided Gastrointestinal Anastomosismentioning

confidence: 99%

See 1 more Smart Citation

Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Moreover, a recent study suggests that EUS-GE has similar technical and clinical success rates compared to laparoscopic gastro-enterostomy. Interestingly, EUS-intervention seems to reduce the length of stay and incidence of AEs, suggesting possible advantages compared to surgery[ 46 ]. Finally, EUS-guided jejuno-jejunal anastomosis provides the opportunity to treat malignant GOO also in patients who have undergone gastrectomy.…”

Section: Discussionmentioning

confidence: 99%

Conservative management of malignant gastric outlet obstruction syndrome-evidence based evaluation of endoscopic ultrasound-guided gastroentero-anastomosis

Cominardi¹,

Tamanini²,

Brighi³

et al. 2021

WJGO

View full text Add to dashboard Cite

Gastric outlet obstruction (GOO) is a clinical syndrome characterized by postprandial vomiting, abdominal pain, bloating and, in advanced cases, by weight loss secondary to inadequate oral intake. This clinical entity may be caused by mechanical obstruction, either benign or malignant, or by motility disorders. In this review we will focus on malignant GOO and on its endoscopic ultrasound (EUS)-guided palliative treatment. The most frequent malignant causes of this syndrome are gastric and locally advanced pancreatic carcinomas; other causes include duodenal or ampullary neoplasms, gastric lymphomas, retroperitoneal lymphadenopathies and, more infrequently, gallbladder and bile duct cancers. Surgery represents the treatment of choice when radical and curative resection is potentially feasible; if the malignant cause is not likely to be completely resected, palliative treatments should be proposed. Palliative treatments for malignant GOO are primarily based on surgical gastro-jejunostomy and endoscopic placement of an enteral self-expanding metal stent. Both treatments are effective; however, endoscopic stent placement is less invasive and it is associated with good short-term results, while surgery provides longer-lasting effects with a lower frequency of reintervention. In the last few years, EUS-guided gastroenterostomy (GE) has been proposed as palliative treatment for malignant GOO. This novel technique consists of the creation of an anastomosis between the gastric lumen and a small bowel loop distal to the malignant obstruction, through the deployment of a lumen-apposing metal stent under EUS-view. EUS-GE has the advantage of being as minimally invasive as enteral stent placement, and of guaranteeing long-term results similar to those of surgery.

show abstract

“…Whereas retrospective literature confirms the comparable clinical success of endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) and surgical gastrojejunostomy (SGJ) [1,2], no head-tohead comparison exists of their caliber and long-term patency. We present one case of a patient receiving both procedures, offering an unusual opportunity for direct comparison (▶ Video 1).…”

mentioning

confidence: 99%

Diameter of surgical versus endoscopic ultrasound-guided gastrojejunostomy: that much wider after all is said and done?

et al. 2021

View full text Add to dashboard Cite

Laparoscopic Versus Eus-Guided Gastroenterostomy For Gastric Outlet Obstruction: An International Multicenter Propensity Score-Matched Comparison

Cited by 11 publications

References 0 publications

Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Conservative management of malignant gastric outlet obstruction syndrome-evidence based evaluation of endoscopic ultrasound-guided gastroentero-anastomosis

Diameter of surgical versus endoscopic ultrasound-guided gastrojejunostomy: that much wider after all is said and done?

Contact Info

Product

Resources

About