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World J Gastrointest Endosc. Nov 16, 2023; 15(11): 634-640
Published online Nov 16, 2023. doi: 10.4253/wjge.v15.i11.634
Endoscopic ultrasound guided gastroenterostomy: Technical details updates, clinical outcomes, and adverse events
Jian Wang, Jin-Long Hu, Si-Yu Sun
Jian Wang, Department of Gastroenterology, People's Hospital of Shenyang Economic and Technological Development Zone, Shenyang 110001, Liaoning Province, China
Jin-Long Hu, Si-Yu Sun, Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China
Author contributions: Wang J and Hu JL designed and wrote the manuscript; Sun SY reviewed the manuscript; all authors have read and approve the final manuscript.
Conflict-of-interest statement: Sun SY is the consultant of Vedkang Medical Science and Technology company and Microtech Technology company.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Si-Yu Sun, PhD, Director, President, Department of Gastroenterology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Shenyang 110004, Liaoning Province, China. sun-siyu@163.com
Received: August 9, 2023
Peer-review started: August 9, 2023
First decision: September 4, 2023
Revised: September 12, 2023
Accepted: October 23, 2023
Article in press: October 23, 2023
Published online: November 16, 2023
Abstract

Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) has been transformed from an innovative technique, into a viable alternative to enteral stenting and surgical gastrointestinal anastomosis for patients with gastric outlet obstruction. Even EUS-GE guided ERCP and EUS-guided gastrointestinal anastomosis for the treatment of afferent loop syndrome have been performed, giving patients more less invasive options. However, EUS-GE is still a technically challenging procedure. In order to improve EUS-GE, several techniques have been reported to improve the technical details. With EUS-GE widely performed, more data about EUS-GE’s clinical outcomes have been reported. The aim of the current review is to describe technical details updates, clinical outcomes, and adverse events of EUS-GE.

Keywords: Gastric outlet obstruction, Endoscopic ultrasound guided gastroenterostomy, Endoscopic ultrasound, Retrievable anchor, Duodenal stent, Surgical gastroenterostomy

Core Tip: Endoscopic ultrasound guided gastroenterostomy (EUS-GE) is still a technically challenging procedure. In order to improve EUS-GE, several techniques have been reported to improve the technical details. With EUS-GE widely performed, more data about EUS-GE’s clinical outcomes have been reported. Knowledge of complications during performing EUS-GE is essential to perform it well. The aim of the current review is to describe technical details updates, clinical outcomes, and adverse events of EUS-GE.