Endoscopic Treatment of Gastric Outlet Obstruction.

Humans Gastroenterostomy Endoscopy Gastric Outlet Obstruction / etiology Stents Endosonography
Benign GOO EUS-guided gastroenterostomy Endoscopic balloon dilation Enteral stenting Lumen-apposing metal stent Malignant GOO Surgical gastrojejunostomy

Journal

Gastrointestinal endoscopy clinics of North America
ISSN: 1558-1950
Titre abrégé: Gastrointest Endosc Clin N Am
Pays: United States
ID NLM: 9202792

Informations de publication

Date de publication:
Jan 2024
Historique:
medline: 20 11 2023
pubmed: 17 11 2023
entrez: 16 11 2023
Statut: ppublish

Résumé

Endoscopic management of gastric outlet obstruction includes balloon dilation, enteral stenting, and endoscopic ultrasound-guided gastroenterostomy (EUS-GE) to relieve mechanical blockage and reestablish per oral intake. Based on the degree of obstruction, patients may experience debilitating symptoms that can quickly lead to malnutrition and delays in chemotherapy. Compared with surgery, minimally invasive endoscopic options can provide similar clinical outcomes with fewer adverse events, faster resumption of oral feeding, and shorter hospitalizations. EUS-GE with a lumen-apposing metal stent has revolutionized treatment, especially in individuals who are not ideal surgical candidates. This article aims to describe endoscopic treatment options and future considerations.

Identifiants

DOI: 10.1016/j.giec.2023.08.005 PMID: 37973223
pubmed: 37973223
pii: S1052-5157(23)00075-2
doi: 10.1016/j.giec.2023.08.005
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

111-125

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure Dr S.S. Irani is a consultant for Boston Scientific, Conmed, and Gore. Dr A. Canakis declares no relevant funding for this study or financial relationships.

Auteurs

Andrew Canakis (A)

Division of Gastroenterology & Hepatology, University of Maryland Medical Center, 22 South Greene Street, Baltimore, MD 21201, USA.

Shayan S Irani (SS)

Division of Gastroenterology and Hepatology, Virginia Mason Medical Center, 1100 Ninth Avenue, Mailstop: C3-GAS, Seattle, WA 98101, USA. Electronic address: shayan.irani@virginiamason.org.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Endoscopic Treatment of Gastric Outlet Obstruction.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie digestive › Gastroentérostomie › Endoscopic Treatment of Gastric Outlet Obstruction.
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Endoscopie › Endoscopic Treatment of Gastric Outlet Obstruction.
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies gastro-intestinales › Maladies de l'estomac › Sténose du défilé gastrique › Endoscopic Treatment of Gastric Outlet Obstruction.
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Endoprothèses › Endoscopic Treatment of Gastric Outlet Obstruction.
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Échographie › Endosonographie › Endoscopic Treatment of Gastric Outlet Obstruction.