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Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction

Gastric outlet obstruction (GOO) is a clinical syndrome secondary to luminal obstruction at the level of the stomach and/or duodenum. GOO can be caused by either benign or malignant etiologies, often resulting in early satiety, nausea, vomiting and poor oral intake. GOO is associated with decreased...

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Autores principales: Stefanovic, Sebastian, Draganov, Peter V, Yang, Dennis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8316851/
https://www.ncbi.nlm.nih.gov/pubmed/34354796
http://dx.doi.org/10.4240/wjgs.v13.i7.620
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author Stefanovic, Sebastian
Draganov, Peter V
Yang, Dennis
author_facet Stefanovic, Sebastian
Draganov, Peter V
Yang, Dennis
author_sort Stefanovic, Sebastian
collection PubMed
description Gastric outlet obstruction (GOO) is a clinical syndrome secondary to luminal obstruction at the level of the stomach and/or duodenum. GOO can be caused by either benign or malignant etiologies, often resulting in early satiety, nausea, vomiting and poor oral intake. GOO is associated with decreased quality of life and has been shown to significantly impact survival in patients with advanced malignancies. Traditional treatment options for GOO can be broadly divided into surgical [surgical gastrojejunostomy (GJ)] and endoscopic interventions (dilation and/or placement of luminal self-expanding metal stents). While surgical GJ has been shown to provide a more lasting relief of symptoms when compared to luminal stenting, it has also been associated with a higher rate of adverse events. Furthermore, many patients with advanced metastatic disease are not good surgical candidates. More recently, endoscopic ultrasound (EUS)-guided GJ has emerged as a potential alternative to traditional surgical and endoscopic approaches. This review focuses on the new advances and technical aspects of EUS-GJ and clinical outcomes in the management of both benign and malignant disease.
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spelling pubmed-83168512021-08-04 Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction Stefanovic, Sebastian Draganov, Peter V Yang, Dennis World J Gastrointest Surg Opinion Review Gastric outlet obstruction (GOO) is a clinical syndrome secondary to luminal obstruction at the level of the stomach and/or duodenum. GOO can be caused by either benign or malignant etiologies, often resulting in early satiety, nausea, vomiting and poor oral intake. GOO is associated with decreased quality of life and has been shown to significantly impact survival in patients with advanced malignancies. Traditional treatment options for GOO can be broadly divided into surgical [surgical gastrojejunostomy (GJ)] and endoscopic interventions (dilation and/or placement of luminal self-expanding metal stents). While surgical GJ has been shown to provide a more lasting relief of symptoms when compared to luminal stenting, it has also been associated with a higher rate of adverse events. Furthermore, many patients with advanced metastatic disease are not good surgical candidates. More recently, endoscopic ultrasound (EUS)-guided GJ has emerged as a potential alternative to traditional surgical and endoscopic approaches. This review focuses on the new advances and technical aspects of EUS-GJ and clinical outcomes in the management of both benign and malignant disease. Baishideng Publishing Group Inc 2021-07-27 2021-07-27 /pmc/articles/PMC8316851/ /pubmed/34354796 http://dx.doi.org/10.4240/wjgs.v13.i7.620 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Opinion Review
Stefanovic, Sebastian
Draganov, Peter V
Yang, Dennis
Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction
title Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction
title_full Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction
title_fullStr Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction
title_full_unstemmed Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction
title_short Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction
title_sort endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction
topic Opinion Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8316851/
https://www.ncbi.nlm.nih.gov/pubmed/34354796
http://dx.doi.org/10.4240/wjgs.v13.i7.620
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