Endoscopic ultrasound guided gastroenterostomy: Technical details updates, clinical outcomes, and adverse events

World J Gastrointest Endosc. 2023 Nov 16;15(11):634-640. doi: 10.4253/wjge.v15.i11.634.

Abstract

Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) has been transformed from an innovative technique, into a viable alternative to enteral stenting and surgical gastrointestinal anastomosis for patients with gastric outlet obstruction. Even EUS-GE guided ERCP and EUS-guided gastrointestinal anastomosis for the treatment of afferent loop syndrome have been performed, giving patients more less invasive options. However, EUS-GE is still a technically challenging procedure. In order to improve EUS-GE, several techniques have been reported to improve the technical details. With EUS-GE widely performed, more data about EUS-GE's clinical outcomes have been reported. The aim of the current review is to describe technical details updates, clinical outcomes, and adverse events of EUS-GE.

Keywords: Duodenal stent; Endoscopic ultrasound; Endoscopic ultrasound guided gastroenterostomy; Gastric outlet obstruction; Retrievable anchor; Surgical gastroenterostomy.

Publication types

  • Review