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Updated: May 7, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
EUS-Guided Gastroenterostomy for Benign Gastric Outlet Obstruction: A Systematic Review and Meta-analysis
Andrew Canakis1, Nicol Tugarinov2, Jay Bapaye3
1Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) effectively bypasses benign gastric outlet obstruction (GOO) with high technical and clinical success rates. This minimally invasive procedure offers a promising therapeutic option for patients unable to eat due to benign GOO.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
- Surgical Innovation
Background:
- Gastric outlet obstruction (GOO) impedes oral intake, with benign causes often understudied compared to malignant ones.
- Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) offers a novel lumen-apposing metal stent approach to bypass GOO.
- Limited data exists on the outcomes of EUS-GE specifically for benign GOO etiologies.
Conclusions:
- EUS-GE demonstrates significant efficacy and a favorable safety profile for managing benign GOO.
- The procedure is effective in restoring oral intake for patients with benign gastric outlet obstruction.
- Further research is warranted to optimize patient selection based on specific underlying etiologies for maximal clinical success.
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