EUS-guided gastrojejunostomy for management of malignant gastric outlet obstruction in a patient with Roux-en-Y anatomy

Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina, USA. A 56-year-old man with a medical history of metastatic duodenal adenocarcinoma, status postpartial gastrectomy, and duodenectomy with Roux-en-Y gastrojejunostomy (GJ) presented with gastric outlet obstruction. Endoscopy revealed an ulcerated stricture at the gastrojejunal anastomosis, with biopsies confirming recurrent …

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EUS-guided gastrojejunostomy for managing GOO

Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at the Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this VideoGIE case, "EUS-guided gastrojejunostomy for management of complete gastric outlet obstruction." An 86-year-old female presents for management of gastric outlet obstruction (GOO) secondary to locally advanced pancreatic adenocarcinoma. An …

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Novel EUS-guided gastrojejunostomy technique

Takao Itoi, MD, PhD, FASGE from the Tokyo Medical University in Tokyo, Japan discusses his article "Novel EUS-guided gastrojejunostomy technique using a new double-balloon enteric tube and lumen-apposing metal stent (with videos)" from the New Methods section of the December issue. Advanced gastric, duodenal, and peri-pancreatic cancers can show gastric outlet obstruction (GOO) at the …

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