Clinical Endoscopy

  • 제58권2호
  • /
  • Pages.201-217
  • /
  • 2025
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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Endoscopic ultrasound-guided gastroenterostomy, with focus on technique and practical tips

  • Chi-Ying Yang (Center for Digestive Medicine, Department of Internal Medicine, China Medical University Hospital, China Medical University) ;
  • Wen-Hsin Huang (Center for Digestive Medicine, Department of Internal Medicine, China Medical University Hospital, China Medical University) ;
  • Hsing-Hung Cheng (Center for Digestive Medicine, Department of Internal Medicine, China Medical University Hospital, China Medical University)
  • 투고 : 2024.07.31
  • 심사 : 2024.11.24
  • 발행 : 2025.03.30
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⟨ 이전 논문 다음 논문 ⟩

초록

Gastric outlet obstruction (GOO) is a condition characterized by a mechanical obstruction of the stomach or duodenum, caused by either benign or malignant disease. Traditionally, surgical gastrojejunostomy (SGJ) has been the standard treatment for malignant GOO and endoscopic stenting (ES) offers a less invasive option, but it often requires repeat interventions. Recently, endoscopic ultrasound (EUS)-guided gastroenterostomy (EUS-GE), an innovative technique, has been applied as an alternative to SGJ and ES for GOO patients. Direct EUS-GE, device-associated EUS-GE, and EUS-guided double balloon-occluded gastrojejunostomy bypass are the most commonly used techniques with reported technical success rates ranging from 80% to 100%, and clinical success rates between 68% and 100%. Adverse event (AE) rates range from 0% to 28.2% and the stent misdeployment is the most common while other AEs include abdominal pain, bleeding, infection, peritonitis, bowel perforation, gastric leakage, and stent migration. It is clear that EUS-GE may achieve a similar clinical success to SGJ with fewer AEs and a shorter hospital stay. Compared to ES, EUS-GE showed higher clinical success, fewer stent obstructions, and lower reintervention rates.

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참고문헌

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