Post written by Takayoshi Tsuchiya, MD, PhD, FJGES, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. This study focuses on the long-term outcomes of the EUS-guided balloon-occluded gastrojejunostomy bypass (EPASS) technique for malignant gastric outlet obstruction (GOO). EPASS is a novel procedure developed by our team at Tokyo Medical University that combines a …
Tag: gastric outlet obstruction
EUS-guided gastrojejunostomy using a pre-existing PEG with jejunal extension for target bowel opacification
Post written by Laurens Janssens, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A 71-year-old woman presented with abdominal pain, nausea, vomiting, and normal liver test results. A CT scan demonstrated gastric outlet obstruction (GOO). Extensive work-up could not reveal the etiology of an extrinsic duodenal compression, and we were unable …
Improvised dual lumen nasojejunal feeding tube with gastric decompression
Post written by Justin Ryan L. Tan, MD, from Chinese General Hospital and Medical Center, Manila, Philippines. Gastric outlet obstruction (GOO) is an incapacitating condition in which the patient becomes malnourished while constantly being at risk of aspiration. A dual lumen nasojejunal tube allows simultaneous postpyloric feeding and drainage of the obstructed proximal segment. The paucity …
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EUS-guided gastroenterostomy for management of malignant gastric outlet obstruction: a prospective cohort study with matched comparison with enteral stenting
Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Milan, Italy. Our article presents a prospective, single-center experience with EUS-guided gastroenterostomy (EUS-GE) for malignant gastric outlet obstruction and a matched comparison with a contemporary prospective cohort treated by enteral stenting. At the study’s onset, prevailing evidence on …
Prospective multicenter assessment of the impact of EUS-guided gastroenterostomy on patient quality of life in unresectable malignant gastric outlet obstruction
Post written by Manuel Pérez-Miranda, MD, PhD, from the Gastroenterology Department, Hospital Universitario Río Hortega, Valladolid, Spain. Our study focuses on the short-term impact of EUS-guided gastroenterostomy (EUS-GE) on quality of life (QoL) in patients with malignant gastric outlet obstruction (GOO). Available EUS-GE case series rely on the achievement of a full diet or reintervention rates …
A case of cystic paraduodenal pancreatitis with gastric outlet obstruction: technical pitfalls in EUS-guided gastroenteroanastomosis
Post written by Cecilia Binda, MD, from the Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì-Cesena, Italy. Our video focuses on some of the technical aspects of EUS-guided gastroenteroanastomosis (EUS-GEA). We report on the case of an 84-year-old man with symptoms of gastric outlet obstruction. A diagnosis of cystic paraduodenal pancreatitis was made …
Stepwise endoscopic resection
Alejandro L. Suarez, MD, from the Division of Gastroenterology & Hepatology at the Medical University of South Carolina in Charleston, South Carolina, USA writes about this video case "Stepwise endoscopic resection of a large gastric lipoma causing gastric outlet obstruction and GI bleeding." Lipomas of the gastrointestinal tract are slow growing tumors commonly found incidentally. …
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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EUS-guided gastroduodenostomy for GOO
Ryan Law, DO, from the Division of Gastroenterology at the University of Michigan in Ann Arbor, Michigan, USA, presents this VideoGIE case, "EUS-guided gastroduodenostomy for gastric outlet obstruction related to chronic pancreatitis." We present a patient with gastric outlet obstruction from chronic pancreatitis who underwent EUS-guided gastroduodenostomy to relieve her obstruction. Her CT scan demonstrated …
Cholecystoduodenostomy and duodenal stenting
Ryan Law, DO, from Northwestern University, Feinberg School of Medicine, in Chicago, Illinois, USA presents this video case "Cholecystoduodenostomy and duodenal stenting for relief of biliary and gastric outlet obstruction." Our case describes the placement of a lumen-apposing stent into the gallbladder followed by placement of an uncovered metal duodenal stent for palliation in a …
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