Endoscopic stenting shows comparable outcomes with lower costs for gastric outlet obstruction

Endoscopic stenting (ES) and gastrojejunostomy (GJ) result in similar short-term morbidity and mortality rates for malignant gastric outlet obstruction. However, patients who underwent GJ faced higher costs exceeding $15,800 and longer hospital stays by over 6.9 days. Analysis revealed that while GJ increased the likelihood of blood transfusions and postoperative total parenteral nutrition usage, the overall complications and 90-day readmission rates were comparable between both interventions, suggesting ES is the more economical option.