Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction  

作　　者：Sebastian Stefanovic Peter V Draganov Dennis Yang 

机构地区：[1]Department of Gastroenterology and Hepatology,University Medical Center Ljubljana,Ljubljana 1000,Slovenia [2]Division of Gastroenterology,Hepatology,and Nutrition,University of Florida College of Medicine,Gainesville,FL 32608,United States

出　　处：《World Journal of Gastrointestinal Surgery》2021年第7期620-632,共13页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Gastric outlet obstruction(GOO)is a clinical syndrome secondary to luminal obstruction at the level of the stomach and/or duodenum.GOO can be caused by either benign or malignant etiologies,often resulting in early satiety,nausea,vomiting and poor oral intake.GOO is associated with decreased quality of life and has been shown to significantly impact survival in patients with advanced malignancies.Traditional treatment options for GOO can be broadly divided into surgical[surgical gastrojejunostomy(GJ)]and endoscopic interventions(dilation and/or placement of luminal self-expanding metal stents).While surgical GJ has been shown to provide a more lasting relief of symptoms when compared to luminal stenting,it has also been associated with a higher rate of adverse events.Furthermore,many patients with advanced metastatic disease are not good surgical candidates.More recently,endoscopic ultrasound(EUS)-guided GJ has emerged as a potential alternative to traditional surgical and endoscopic approaches.This review focuses on the new advances and technical aspects of EUS-GJ and clinical outcomes in the management of both benign and malignant disease.

关 键 词：Gastric outlet obstruction Interventional endoultrasonography GASTROJEJUNOSTOMY Duodenal stenting Balloon dilatation 

分 类 号：R656.61[医药卫生—外科学]