Gut Liver.  2022 Mar;16(2):190-197. 10.5009/gnl210010.

Optimal Management of Gastric Outlet Obstruction in Unresectable Malignancies

• Cheung SLH
• Bun Teoh AY

• KMID: 2526992
• DOI: http://doi.org/10.5009/gnl210010

Abstract

The aim of this article is to review the different treatment options for malignant gastric outlet obstruction (GOO) and compare their safety and efficacy. We describe the history and evolution of gastrojejunostomy (GJ), endoscopic stenting and endoscopic ultrasonography-guided gastroenterostomy (EUS-GE) and analyze the current evidence regarding these three methods available in the literature, comparing their applicability, safety, complications and cost when used for the treatment of malignant GOO. We conclude that given the benefits of endoscopic techniques and the ability to place a stent away from the tumor, EUS-GE is a promising technique that may yield an efficacy similar to that of surgical GJ and duodenal stenting, with lower reintervention rates and fewer adverse events

Keyword

Gastric outlet obstruction; Stents; Palliative care; Stomach neoplasm; Gastroenterostomy