Endoscopic ultrasound-guided gastroenterostomy: The new standard treatment of gastric outlet obstruction

Figure 2 Step-by-step visualization of endoscopic ultrasound-guided gastroenterostomy procedure. A: Fluoroscopic view showing a 7Fr nasobiliary catheter placed into the jejunum over a guidewire; B: Echoendoscopic view displaying the duodenum and jejunum distended with contrast material and methylene blue before direct puncture; C: Real-time puncture of the stomach and jejunal wall using the freehand technique under endoscopic ultrasound guidance; D: Fluoroscopic confirmation of successful stent deployment; E: Endoscopic confirmation ensuring correct positioning and lumen patency of the deployed stent.