International multicenter comparative trial of endoscopic ultrasonography-guided gastroenterostomy versus surgical gastrojejunostomy for the treatment of malignant gastric outlet obstruction

Autor: Mouen A. Khashab, Majidah Bukhari, Todd H. Baron, Jose Nieto, Mohamad El Zein, Yen-I Chen, Yamile Haito Chavez, Saowanee Ngamruengphong, Ahmad S. Alawad, Vivek Kumbhari, Takao Itoi
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Endoscopy International Open, Vol 05, Iss 04, Pp E275-E281 (2017)
Druh dokumentu: article
ISSN: 2364-3722
2196-9736
DOI: 10.1055/s-0043-101695
Popis: Background and study aims EUS-guided gastroenterostomy (EUS-GE) is a novel procedure that potentially offers long-lasting luminal patency without the risk of tumor ingrowth/overgrowth. This study compared the clinical success, technical success, adverse events (AEs), length of hospital stay (LOHS) and symptom recurrence in EUS-GE versus SGJ. Methods This was a multicenter international retrospective comparative study of EUS-GE and SGJ in patients with malignant gastric outlet obstruction (GOO) who underwent either EUS-GE or SGJ. EUS-GE was performed using lumen apposing metal stents. Results A total of 93 patients with malignant GOO treated with either EUS-GE (n = 30) or SGJ (n = 63) were identified. Peritoneal carcinomatosis was present in 13 (43 %) patients in the EUS-GE group and 7 (11 %) patients in the SGJ group (P
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