{"title":"Endoscopic ultrasound directed gastroenterostomy","authors":"Theodore W. James MD, Todd H. Baron MD","doi":"10.1016/j.tgie.2017.10.001","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>Gastric outlet obstruction (GOO) is typically caused by intrinsic or extrinsic obstruction of the pyloric channel or </span>duodenum. Surgical approaches to bypassing the obstruction have been the mainstay of therapy, though recent developments in </span>endoscopy<span><span> have allowed for a minimally invasive approach to managing GOO. The development of endoscopic ultrasound-guided gastroenterostomy<span> (EUS-GE) represents a major advancement in the management of GOO. EUS-GE involves placement of a covered self-expandable metal stent into either the third or fourth portion of the duodenum to create a gastroduodenostomy or into the </span></span>jejunum<span> to create a gastrojejunostomy. In this review, we will discuss the different approaches to EUS-GE and the indications for each approach including direct EUS-GE, EUS-guided balloon-occluded GE, assisted EUS-GE, and contrast-enhanced EUS-GE.</span></span></p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2017.10.001","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Gastrointestinal Endoscopy","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1096288317300633","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
Abstract
Gastric outlet obstruction (GOO) is typically caused by intrinsic or extrinsic obstruction of the pyloric channel or duodenum. Surgical approaches to bypassing the obstruction have been the mainstay of therapy, though recent developments in endoscopy have allowed for a minimally invasive approach to managing GOO. The development of endoscopic ultrasound-guided gastroenterostomy (EUS-GE) represents a major advancement in the management of GOO. EUS-GE involves placement of a covered self-expandable metal stent into either the third or fourth portion of the duodenum to create a gastroduodenostomy or into the jejunum to create a gastrojejunostomy. In this review, we will discuss the different approaches to EUS-GE and the indications for each approach including direct EUS-GE, EUS-guided balloon-occluded GE, assisted EUS-GE, and contrast-enhanced EUS-GE.
期刊介绍：
The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.
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