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Related Experiment Video

Updated: Sep 20, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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Published on: December 27, 2024

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EUS guided gastrojejunostomy: techniques and outcomes.

Sachin Hosahally Jayanna1, Surinder Singh Rana1

  • 1Department of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Expert Review of Gastroenterology & Hepatology
|May 24, 2025
PubMed
Summary

Endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) offers a minimally invasive alternative for gastric outlet obstruction. This technique creates a stomach-to-small intestine connection, proving effective with manageable complications.

Keywords:
Endosonographygastric outlet obstructiongastro-jejunostomylumen apposing metal stentsself-expanding metal stents

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Endoscopic Procedures

Background:

  • Gastric outlet obstruction (GOO) traditionally managed with surgical bypass, carries significant morbidity.
  • Enteral self-expanding metal stents (SEMS) are less invasive but risk stent blockage and re-intervention.
  • Endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) emerges as a novel, minimally invasive alternative.

Purpose of the Study:

  • To review the technical aspects and clinical outcomes of EUS-GJ.
  • To compare EUS-GJ with existing treatment modalities for GOO.
  • To highlight the safety and efficacy of EUS-GJ.

Main Methods:

  • Literature search of PubMed for English-language articles on EUS-GJ up to February 2025.
  • Analysis of technical details, including different EUS-GJ techniques.
  • Review of reported outcomes and complications.

Main Results:

  • EUS-GJ creates a gastrojejunal anastomosis using a lumen-apposing metal stent (LAMS).
  • Direct, balloon-assisted, and EPASS techniques exist; the direct approach is most common.
  • Stent misdeployment is a risk, but often manageable with endoscopic interventions.

Conclusions:

  • EUS-GJ is a viable, minimally invasive option for GOO management.
  • The direct EUS-GJ technique offers comparable outcomes with shorter procedure times.
  • While stent misdeployment is a concern, rescue endoscopic methods provide effective management.