Endoscopic ultrasound-guided gastroenterostomy for gastric outlet obstruction in Mexico  

作　　者：Massiel Madelin Rosario-Morel Rodrigo Soto-Solis Katia Picazo-Ferrera Miriam Idalia Torres-Ruiz JoséAlberto Estradas-Trujillo Mario Alberto Gallardo-Ramírez Gerardo Akram Darwich-del Moral Luis Ariel Waller-González 

机构地区：[1]Department of Endoscopy,Centro Médico Nacional“20 de Noviembre,”ISSSTE,Mexico City 03229,Mexico [2]Department of Gastroenterology,HospitalÁngeles Pedregal,Mexico City 10700,Mexico [3]Department of Endoscopy,Centro Médico ABC,Mexico City 01120,Mexico [4]Department of Endoscopy,Hospital General de México“Dr.Eduardo Liceaga”,Mexico City 06720,Mexico

出　　处：《World Journal of Surgical Procedures》2024年第3期15-20,共6页世界外科手术杂志

摘　　要：BACKGROUND Endoscopic ultrasound-guided gastroenterostomy(EUS-GE)has recently emerged as an alternative treatment for gastric outlet obstruction(GOO)in selected patients.AIM To report the initial experience of EUS-GE in patients with GOO.METHODS This study was a retrospective,observational,multicenter study in which the data from 10 patients who underwent EUS-GE due to GOO between September 2021 and May 2023 were collected.We analyzed technical success,clinical success,adverse events,and survival.Technical success was defined as adequate positioning and deployment of the stent.Clinical success was defined as the patient’s ability to tolerate oral intake without vomiting 7 d after the procedure.Postprocedural adverse events were recorded.RESULTS Eleven procedures in 10 patients with GOO were included.The mean age of the patients was 67.5 years(range:56-77 years).Malignant GOO was present in 9 patients.Technical success was achieved in 9/11 procedures(82%).Among them,clinical success was achieved in 9 patients(100%).Adverse events occurred in 1 patient(9%).The median survival was 3 months(n=7;range:1-8 months).CONCLUSION EUS-GE is a feasible therapeutic option in the treatment of GOO.

关 键 词：Endoscopic ultrasound-guided gastroenterostomy Gastric outlet obstruction Lumen apposing metal stent Interventional endoscopic ultrasound GASTROJEJUNOSTOMY Duodenal stenting 

分 类 号：R73[医药卫生—肿瘤]